Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.96 / $450.01 / $691.02	Facility		$345.96	$450.01	$691.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.49 / $450.00 / $905.44	Professional		$336.49	$450.00	$905.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $396.99 / $396.99 / $483.71	Professional		$396.99	$396.99	$483.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.25 / $599.19 / $3,071.67	Facility		$360.25	$599.19	$3,071.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.60 / $540.03 / $868.46	Professional		$401.60	$540.03	$868.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $584.71 / $611.28 / $947.00	Professional		$584.71	$611.28	$947.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $383.58 / $383.58 / $383.58	Facility		$383.58	$383.58	$383.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.44 / $557.09 / $871.29	Professional		$413.44	$557.09	$871.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,042.22	Facility		$55.00	$55.00	$2,042.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,024.08 / $3,964.16 / $4,858.35	Professional		$3,024.08	$3,964.16	$4,858.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.42 / $531.54 / $982.12	Facility		$363.42	$531.54	$982.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.50 / $713.18 / $960.05	Professional		$547.50	$713.18	$960.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.90 / $1,138.90 / $1,138.90	Professional		$1,138.90	$1,138.90	$1,138.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.42 / $535.61 / $1,030.75	Facility		$363.42	$535.61	$1,030.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.74 / $589.66 / $1,000.76	Professional		$413.74	$589.66	$1,000.76
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.40 / $522.50 / $811.88	Professional		$379.40	$522.50	$811.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $468.21 / $531.54 / $735.12	Professional		$468.21	$531.54	$735.12