Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.91 / $201.84 / $370.82	Facility		$155.91	$201.84	$370.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $257.48 / $570.40	Professional		$158.33	$257.48	$570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $226.69 / $307.94	Professional		$164.04	$226.69	$307.94
Ambetter Facility/Professional Professional Modifier 22 Low / Median / High Price $171.26 / $171.26 / $171.26	Professional	22	$171.26	$171.26	$171.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.82 / $2,745.90 / $5,385.51	Facility		$1,505.82	$2,745.90	$5,385.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $193.01 / $353.29	Professional		$108.59	$193.01	$353.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $2,537.78 / $7,937.22	Facility		$545.00	$2,537.78	$7,937.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $140.44 / $526.39	Professional		$128.79	$140.44	$526.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $223.23 / $596.29	Professional		$135.82	$223.23	$596.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $879.60 / $16,394.00 / $16,394.00	Facility		$879.60	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $938.64 / $1,737.92 / $2,012.70	Professional		$938.64	$1,737.92	$2,012.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $245.95 / $449.31	Facility		$122.85	$245.95	$449.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $252.52 / $477.56	Professional		$122.33	$252.52	$477.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,168.23 / $2,819.80 / $12,026.49	Facility		$2,168.23	$2,819.80	$12,026.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.90 / $251.90 / $251.90	Professional		$251.90	$251.90	$251.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $250.55 / $443.02	Facility		$122.85	$250.55	$443.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.24 / $367.08 / $690.35	Professional		$228.24	$367.08	$690.35
United Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $268.67 / $435.00	Professional		$188.50	$268.67	$435.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $224.74 / $315.83	Professional		$199.05	$224.74	$315.83