Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $281.84	Professional		$95.50	$125.89	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $120.23	Facility		$89.13	$107.15	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $120.23	Professional		$91.20	$120.23	$120.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $151.36	Professional		$79.43	$79.43	$151.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $173.78	Facility		$120.23	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $128.82	Facility		$89.13	$100.00	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $128.82	Professional		$89.13	$120.23	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $151.36	Professional		$30.20	$30.20	$151.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $125.89	Facility		$60.26	$60.26	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $125.89	Professional		$60.26	$120.23	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $151.36	Professional		$79.43	$79.43	$151.36