Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $97.50 / $125.00	Professional		$75.00	$97.50	$125.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.29 / $100.22 / $119.31	Facility		$88.29	$100.22	$119.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $88.07 / $91.21	Professional		$85.00	$88.07	$91.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $150.00	Professional		$80.00	$80.00	$150.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Facility		$172.00	$172.00	$172.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $130.00	Facility		$90.00	$100.00	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $130.00	Professional		$90.00	$120.00	$130.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $60.00 / $60.00	Facility		$51.00	$60.00	$60.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $135.00 / $216.00	Professional		$60.00	$135.00	$216.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $120.00	Facility		$60.00	$60.00	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $120.00 / $150.00	Professional		$60.00	$120.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $114.06	Professional		$80.00	$80.00	$114.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $106.56 / $125.00	Professional		$106.56	$106.56	$125.00