Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.28 / $306.14 / $1,320.03	Facility		$140.28	$306.14	$1,320.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $187.20 / $450.40	Professional		$127.56	$187.20	$450.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $188.55 / $286.98	Professional		$154.59	$188.55	$286.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.77 / $522.53 / $919.27	Facility		$210.77	$522.53	$919.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $252.58 / $346.81	Professional		$155.22	$252.58	$346.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $188.14 / $229.38 / $293.60	Professional		$188.14	$229.38	$293.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $176.64 / $176.64 / $193.00	Facility		$176.64	$176.64	$193.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.78 / $686.65 / $1,146.49	Facility		$221.78	$686.65	$1,146.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $216.07 / $365.54	Professional		$161.54	$216.07	$365.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $440.21 / $966.25 / $966.25	Facility		$440.21	$966.25	$966.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,821.00 / $1,821.00 / $1,821.00	Professional		$1,821.00	$1,821.00	$1,821.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $218.62 / $410.28	Facility		$180.98	$218.62	$410.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $285.45 / $575.85	Professional		$201.53	$285.45	$575.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.72 / $248.00 / $393.15	Professional		$193.72	$248.00	$393.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.01 / $223.53 / $607.75	Facility		$182.01	$223.53	$607.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $220.20 / $375.25	Professional		$161.54	$220.20	$375.25
United Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $220.26 / $321.91	Professional		$157.06	$220.26	$321.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $183.50 / $254.54	Professional		$160.38	$183.50	$254.54