Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $64.06 / $91.40	Facility		$64.06	$64.06	$91.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $99.96 / $122.73	Professional		$68.30	$99.96	$122.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $105.26 / $113.04	Professional		$87.35	$105.26	$113.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $339.57 / $551.59	Facility		$112.75	$339.57	$551.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $93.02 / $93.02	Professional		$79.06	$93.02	$93.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $113.04 / $126.10	Professional		$87.35	$113.04	$126.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $111.74 / $116.07	Facility		$111.74	$111.74	$116.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.44 / $544.91 / $544.91	Facility		$181.44	$544.91	$544.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $698.47 / $698.47 / $879.98	Professional		$698.47	$698.47	$879.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.82 / $115.33 / $210.07	Facility		$84.82	$115.33	$210.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $151.96 / $194.93	Professional		$120.52	$151.96	$194.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $212.60 / $279.20	Professional		$186.00	$212.60	$279.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $115.33 / $220.74	Facility		$85.16	$115.33	$220.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $248.21	Professional		$96.42	$96.42	$248.21
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $116.45 / $189.73	Professional		$85.80	$116.45	$189.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $105.08 / $143.86	Professional		$89.44	$105.08	$143.86