Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $87.42 / $110.47	Professional		$59.30	$87.42	$110.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $131.13 / $131.13	Professional		$87.42	$131.13	$131.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $79.20 / $79.20	Professional		$67.31	$79.20	$79.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $148.35 / $177.86	Professional		$87.42	$148.35	$177.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.27 / $104.66 / $104.66	Facility		$83.27	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $466.35 / $466.35	Facility		$166.29	$466.35	$466.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $613.55 / $613.55 / $751.05	Professional		$613.55	$613.55	$751.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $108.11 / $191.16	Facility		$77.65	$108.11	$191.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $124.53 / $165.45	Professional		$102.29	$124.53	$165.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $125.70 / $245.30	Professional		$109.00	$125.70	$245.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $107.22 / $196.70	Facility		$75.50	$107.22	$196.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $203.50	Professional		$81.84	$81.84	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $106.86 / $173.01	Professional		$79.51	$106.86	$173.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $89.05 / $122.39	Professional		$75.92	$89.05	$122.39