Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $101.66 / $234.80	Facility		$25.85	$101.66	$234.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $133.50 / $198.62	Professional		$103.88	$133.50	$198.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $123.92 / $247.40	Professional		$102.26	$123.92	$247.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $246.44 / $401.64	Facility		$102.53	$246.44	$401.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $145.88 / $171.63	Professional		$51.49	$145.88	$171.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $108.23 / $136.86 / $270.39	Facility		$108.23	$136.86	$270.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $172.74 / $283.75	Professional		$118.51	$172.74	$283.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $30.40 / $30.40	Facility		$30.40	$30.40	$30.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $383.49 / $507.78	Facility		$181.00	$383.49	$507.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $157.77 / $292.79	Professional		$108.64	$157.77	$292.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $321.66 / $843.41 / $843.41	Facility		$321.66	$843.41	$843.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.30 / $1,024.30 / $1,326.30	Professional		$1,024.30	$1,024.30	$1,326.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.88 / $155.66 / $294.85	Facility		$103.88	$155.66	$294.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $111.60 / $225.00	Professional		$56.95	$111.60	$225.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $173.45 / $238.43 / $621.00	Facility		$173.45	$238.43	$621.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $27.74 / $52.10	Professional		$12.60	$27.74	$52.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $174.81 / $402.67	Facility		$109.07	$174.81	$402.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $157.69 / $284.45	Professional		$104.97	$157.69	$284.45
United Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $171.79 / $269.85	Professional		$128.93	$171.79	$269.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $159.88 / $215.85	Professional		$159.88	$159.88	$215.85