Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.31 / $433.84 / $2,062.00	Facility		$125.31	$433.84	$2,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $139.56 / $193.44	Professional		$100.66	$139.56	$193.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $90.00 / $167.61	Professional		$87.73	$90.00	$167.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $384.61 / $724.95	Facility		$147.22	$384.61	$724.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $117.08 / $137.74	Professional		$90.28	$117.08	$137.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $178.61 / $178.61 / $178.61	Facility		$178.61	$178.61	$178.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $144.50 / $144.50	Facility		$144.50	$144.50	$144.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $875.00 / $1,094.00	Facility		$700.00	$875.00	$1,094.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.01 / $526.49 / $526.49	Facility		$289.01	$526.49	$526.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $917.85 / $917.85 / $917.85	Professional		$917.85	$917.85	$917.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.73 / $139.24 / $255.65	Facility		$98.73	$139.24	$255.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $87.73 / $196.47	Professional		$69.43	$87.73	$196.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $53.19 / $53.19 / $71.04	Facility		$53.19	$53.19	$71.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.68 / $324.06 / $505.92	Professional		$256.68	$324.06	$505.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $143.03 / $255.65	Facility		$98.83	$143.03	$255.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $164.03	Professional		$78.91	$78.91	$164.03
United Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $207.99 / $327.41	Professional		$147.63	$207.99	$327.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $112.09 / $204.36	Professional		$89.67	$112.09	$204.36