Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.74 / $2,550.00 / $7,523.44	Facility		$504.74	$2,550.00	$7,523.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.01 / $270.25 / $441.85	Professional		$176.01	$270.25	$441.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.86 / $315.45 / $342.95	Professional		$272.86	$315.45	$342.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.23 / $805.17 / $1,830.75	Facility		$462.23	$805.17	$1,830.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $308.45 / $463.00	Professional		$183.14	$308.45	$463.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $315.45 / $362.78 / $504.74	Professional		$315.45	$362.78	$504.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $167.56 / $167.56 / $326.83	Facility		$167.56	$167.56	$326.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $352.27 / $518.77	Professional		$219.87	$352.27	$518.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,007.81 / $16,394.00 / $16,394.00	Facility		$1,007.81	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.52 / $2,438.08 / $2,844.00	Professional		$1,457.52	$2,438.08	$2,844.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.88 / $307.67 / $466.20	Facility		$187.88	$307.67	$466.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.21 / $390.74 / $607.10	Professional		$244.21	$390.74	$607.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $306.44 / $392.98	Professional		$173.74	$306.44	$392.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.88 / $307.67 / $468.88	Facility		$187.88	$307.67	$468.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $363.46 / $596.55	Professional		$229.39	$363.46	$596.55
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.11 / $350.79 / $508.61	Professional		$261.11	$350.79	$508.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $315.45 / $441.64	Professional		$280.20	$315.45	$441.64