Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $136.80 / $314.60	Facility		$131.63	$136.80	$314.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $136.80 / $221.98	Professional		$126.48	$136.80	$221.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.29 / $209.29 / $209.29	Professional		$209.29	$209.29	$209.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $140.29 / $175.52	Professional		$140.29	$140.29	$175.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $221.09 / $221.09 / $294.77	Facility		$221.09	$221.09	$294.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $221.09 / $294.77	Professional		$206.35	$221.09	$294.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $294.77 / $294.77	Facility		$294.77	$294.77	$294.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $190.69	Professional		$139.19	$139.19	$190.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $607.39 / $1,539.25 / $1,866.94	Facility		$607.39	$1,539.25	$1,866.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,957.34 / $1,966.23 / $2,947.80	Professional		$1,957.34	$1,966.23	$2,947.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $199.31 / $294.77	Facility		$94.94	$199.31	$294.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.41 / $265.30 / $294.77	Professional		$180.41	$265.30	$294.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $243.10 / $243.10	Professional		$243.10	$243.10	$243.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $196.97 / $294.77	Facility		$94.94	$196.97	$294.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $203.28	Professional		$139.19	$139.19	$203.28
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $172.72 / $210.98	Professional		$121.84	$172.72	$210.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.68 / $176.99 / $294.77	Professional		$176.68	$176.99	$294.77