Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $206.39 / $277.93	Facility		$136.66	$206.39	$277.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $137.59 / $164.84	Professional		$136.66	$137.59	$164.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $164.00 / $164.00	Professional		$136.22	$164.00	$164.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.22 / $319.45 / $637.41	Facility		$126.22	$319.45	$637.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $135.54 / $135.54	Professional		$115.21	$135.54	$135.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $108.30 / $127.62 / $15,218.47	Facility		$108.30	$127.62	$15,218.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $11,812.45 / $11,812.45 / $11,812.45	Facility		$11,812.45	$11,812.45	$11,812.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $136.66 / $136.66	Facility		$128.93	$136.66	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.56 / $663.65 / $683.35	Facility		$176.56	$663.65	$683.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $586.87 / $586.87 / $586.87	Professional		$586.87	$586.87	$586.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $136.66 / $281.54	Facility		$136.22	$136.66	$281.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $139.40 / $225.51	Professional		$136.66	$139.40	$225.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $150.44 / $255.50	Professional		$134.44	$150.44	$255.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $136.66 / $243.95	Facility		$136.66	$136.66	$243.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $162.22	Professional		$136.66	$136.66	$162.22
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.87 / $153.07	Professional		$136.66	$144.87	$153.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $136.66 / $191.34	Professional		$132.91	$136.66	$191.34