Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.07 / $275.52 / $576.10	Facility		$94.07	$275.52	$576.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $104.53 / $455.20	Professional		$101.98	$104.53	$455.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $455.91 / $909.66	Facility		$180.13	$455.91	$909.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $107.08 / $107.08	Professional		$107.08	$107.08	$107.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $973.44	Facility		$108.97	$108.97	$973.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $221.31 / $221.31 / $221.31	Facility		$221.31	$221.31	$221.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $254.96 / $431.25	Facility		$176.32	$254.96	$431.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.00 / $484.42 / $517.50	Professional		$437.00	$484.42	$517.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $127.48 / $289.45	Facility		$105.81	$127.48	$289.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $110.65 / $110.65	Professional		$110.65	$110.65	$110.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $201.03 / $211.08	Professional		$134.49	$201.03	$211.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $127.48 / $221.18	Facility		$108.36	$127.48	$221.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $106.24	Professional		$106.24	$106.24	$106.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $38.22 / $95.84	Professional		$28.32	$38.22	$95.84