Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $172.66 / $196.00	Facility		$133.00	$172.66	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $175.00 / $233.33	Professional		$130.66	$175.00	$233.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $133.24 / $133.24	Professional		$133.24	$133.24	$133.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $376.67 / $772.74	Facility		$210.83	$376.67	$772.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $128.10 / $142.33	Professional		$126.82	$128.10	$142.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $199.85 / $266.47	Professional		$186.53	$199.85	$266.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $266.47 / $266.47	Facility		$266.47	$266.47	$266.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $178.39	Professional		$130.22	$130.22	$178.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.08 / $1,265.73 / $1,265.73	Facility		$1,247.08	$1,265.73	$1,265.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.02 / $1,327.02 / $1,998.53	Professional		$1,327.02	$1,327.02	$1,998.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $200.05 / $266.47	Facility		$77.23	$200.05	$266.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.08 / $239.82 / $266.47	Professional		$163.08	$239.82	$266.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.80 / $308.80 / $308.80	Professional		$308.80	$308.80	$308.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $185.70 / $266.47	Facility		$77.23	$185.70	$266.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $221.57	Professional		$130.22	$130.22	$221.57
United Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $147.49 / $191.23	Professional		$99.71	$147.49	$191.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.25 / $171.26 / $266.47	Professional		$169.25	$171.26	$266.47