Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $57.88 / $64.27	Facility		$55.51	$57.88	$64.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $68.09 / $155.40	Professional		$55.51	$68.09	$155.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $120.00 / $160.49	Professional		$97.71	$120.00	$160.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $27.22 / $44.92	Professional		$27.22	$27.22	$44.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $82.31 / $101.74	Professional		$82.31	$82.31	$101.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $437.21 / $453.15	Facility		$187.00	$437.21	$453.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $535.96 / $535.96 / $823.13	Professional		$535.96	$535.96	$823.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.45 / $82.91 / $163.63	Facility		$62.45	$82.91	$163.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.84 / $562.50	Professional		$74.13	$93.84	$562.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $116.12 / $130.66	Professional		$94.68	$116.12	$130.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $85.17 / $164.29	Facility		$57.88	$85.17	$164.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
United Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $96.88 / $149.43	Professional		$73.16	$96.88	$149.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $74.13 / $104.45	Professional		$65.62	$74.13	$104.45