Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.95 / $652.11 / $2,944.86	Facility		$312.95	$652.11	$2,944.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.16 / $376.18 / $1,018.93	Professional		$284.16	$376.18	$1,018.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $448.79 / $579.10	Professional		$417.91	$448.79	$579.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.90 / $599.64 / $785.83	Professional		$351.90	$599.64	$785.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $407.57 / $499.68 / $649.74	Professional		$407.57	$499.68	$649.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $403.99 / $581.60 / $581.60	Facility		$403.99	$581.60	$581.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $41,910.00 / $48,764.00	Facility		$593.00	$41,910.00	$48,764.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.56 / $483.64 / $815.22	Professional		$358.56	$483.64	$815.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,149.44 / $3,935.04 / $3,983.52	Facility		$3,149.44	$3,935.04	$3,983.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,089.00 / $14,247.44 / $14,817.33	Professional		$5,089.00	$14,247.44	$14,817.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.96 / $493.65 / $830.99	Facility		$403.96	$493.65	$830.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.57 / $687.42 / $1,666.48	Professional		$407.57	$687.42	$1,666.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $543.28 / $857.92	Professional		$423.04	$543.28	$857.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $520.80 / $45,037.00	Facility		$407.57	$520.80	$45,037.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.23 / $489.09 / $851.20	Professional		$358.23	$489.09	$851.20
United Facility/Professional Professional Modifier Low / Median / High Price $359.95 / $485.37 / $724.10	Professional		$359.95	$485.37	$724.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.57 / $407.57 / $564.17	Professional		$355.57	$407.57	$564.17