Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.36 / $256.67 / $875.43	Facility		$68.36	$256.67	$875.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $263.08 / $272.70	Professional		$162.00	$263.08	$272.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $192.50 / $602.82	Professional		$192.50	$192.50	$602.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $134.80 / $268.95	Facility		$53.26	$134.80	$268.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.51 / $269.51 / $269.51	Professional		$269.51	$269.51	$269.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $167.41 / $191.27 / $973.44	Facility		$167.41	$191.27	$973.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $82.33 / $82.33 / $82.33	Facility		$82.33	$82.33	$82.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $385.53 / $641.67 / $1,203.15	Facility		$385.53	$641.67	$1,203.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.19 / $1,219.19 / $1,443.78	Professional		$1,219.19	$1,219.19	$1,443.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.36 / $320.83 / $646.17	Facility		$241.36	$320.83	$646.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.82 / $189.82 / $392.25	Professional		$189.82	$189.82	$392.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $206.99 / $217.34	Professional		$138.47	$206.99	$217.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.08 / $284.14 / $435.86	Facility		$263.08	$284.14	$435.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $272.98	Professional		$267.37	$267.37	$272.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $65.81 / $267.37	Professional		$48.75	$65.81	$267.37