Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Facility		$89.13	$89.13	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $186.21	Professional		$85.11	$104.71	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $213.80	Professional		$104.71	$154.88	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $194.98	Professional		$125.89	$162.18	$194.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $125.89	Facility		$107.15	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $125.89	Professional		$93.33	$93.33	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,479.11	Professional		$1,000.00	$1,479.11	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $269.15	Facility		$93.33	$141.25	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $199.53	Professional		$89.13	$112.20	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $302.00	Facility		$93.33	$181.97	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $125.89	Professional		$93.33	$93.33	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $89.13 / $208.93	Facility		$63.10	$89.13	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $141.25	Professional		$74.13	$112.20	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93