Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.91 / $414.40 / $835.11	Facility		$83.91	$414.40	$835.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $84.93 / $304.00	Professional		$81.86	$84.93	$304.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $67.50 / $177.00	Professional		$48.00	$67.50	$177.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $245.68 / $490.20	Facility		$97.07	$245.68	$490.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $106.93 / $173.57	Professional		$91.12	$106.93	$173.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.36 / $190.36 / $190.36	Facility		$190.36	$190.36	$190.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.07 / $717.30 / $717.30	Facility		$166.07	$717.30	$717.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $717.30 / $717.30 / $717.30	Professional		$717.30	$717.30	$717.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $102.33 / $345.15	Facility		$84.93	$102.33	$345.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $106.99 / $233.33	Professional		$99.41	$106.99	$233.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $485.84 / $681.91 / $2,184.63	Facility		$485.84	$681.91	$2,184.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $169.25 / $177.71	Professional		$113.22	$169.25	$177.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $102.33 / $177.55	Facility		$86.98	$102.33	$177.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $86.38	Professional		$85.27	$85.27	$86.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $200.00 / $270.00	Professional		$85.27	$200.00	$270.00