Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $312.57 / $536.90	Facility		$89.65	$312.57	$536.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $91.91 / $106.48	Professional		$89.66	$91.91	$106.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $129.55 / $150.00	Professional		$67.25	$129.55	$150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $235.46 / $469.80	Facility		$93.03	$235.46	$469.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $94.15 / $94.15	Professional		$94.15	$94.15	$94.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $96.64 / $96.64 / $936.99	Facility		$96.64	$96.64	$936.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $156.37 / $224.16 / $420.30	Facility		$156.37	$224.16	$420.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $425.90 / $425.90 / $504.36	Professional		$425.90	$425.90	$504.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $112.08 / $200.01	Facility		$93.03	$112.08	$200.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $99.65 / $108.00	Professional		$99.65	$99.65	$108.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $184.34 / $193.56	Professional		$123.32	$184.34	$193.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $112.08 / $168.12	Facility		$95.27	$112.08	$168.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $106.48 / $143.75	Professional		$100.00	$106.48	$143.75