Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $146.10 / $286.98	Facility		$73.20	$146.10	$286.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $74.55 / $149.10	Professional		$72.45	$74.55	$149.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.05 / $73.05	Professional		$73.05	$73.05	$73.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $200.30 / $398.46	Facility		$79.14	$200.30	$398.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $84.39 / $84.39	Professional		$84.39	$84.39	$84.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $79.37 / $79.37	Professional		$76.50	$79.37	$79.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $63.00 / $63.00	Facility		$63.00	$63.00	$63.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $73.20 / $84.50	Facility		$69.06	$73.20	$84.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $73.20	Professional		$73.20	$73.20	$73.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $358.68 / $381.80	Facility		$96.74	$358.68	$381.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.25 / $2,022.25 / $2,022.25	Professional		$2,022.25	$2,022.25	$2,022.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $73.20 / $128.55	Facility		$61.09	$73.20	$128.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $74.66 / $120.78	Professional		$69.54	$74.66	$120.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $84.68 / $150.84	Professional		$73.20	$84.68	$150.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $73.20 / $128.10	Facility		$61.14	$73.20	$128.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $92.26	Professional		$73.20	$73.20	$92.26
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.59 / $81.48	Professional		$73.20	$77.59	$81.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.20 / $102.48	Professional		$73.05	$73.20	$102.48