Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.88 / $935.00 / $7,316.00	Facility		$221.88	$935.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $236.49 / $457.15	Professional		$124.85	$236.49	$457.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $437.04 / $453.47	Professional		$138.91	$437.04	$453.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $159.30 / $461.17	Facility		$78.58	$159.30	$461.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $247.40 / $444.32	Professional		$127.16	$247.40	$444.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $201.31 / $335.84	Facility		$136.41	$201.31	$335.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $155.41 / $155.41	Facility		$140.47	$155.41	$155.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $237.21 / $237.21	Facility		$237.21	$237.21	$237.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.28 / $287.17 / $505.77	Professional		$151.28	$287.17	$505.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $731.88	Facility		$55.00	$55.00	$731.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.90 / $2,395.84 / $2,834.33	Professional		$1,262.90	$2,395.84	$2,834.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $284.29 / $466.48	Facility		$134.41	$284.29	$466.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $318.14 / $579.70	Professional		$181.23	$318.14	$579.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.36 / $358.67 / $773.22	Professional		$153.36	$358.67	$773.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $285.24 / $471.46	Facility		$134.47	$285.24	$471.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $295.29 / $558.30	Professional		$154.84	$295.29	$558.30
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.24 / $292.89 / $466.64	Professional		$216.24	$292.89	$466.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $277.17 / $309.63 / $440.18	Professional		$277.17	$309.63	$440.18