Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $562.34 / $1,445.44	Facility		$199.53	$562.34	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $371.54	Professional		$181.97	$245.47	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $954.99 / $1,584.89	Facility		$363.08	$954.99	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $165.96 / $407.38	Professional		$5.01	$165.96	$407.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $416.87	Professional		$208.93	$302.00	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $302.00	Facility		$295.12	$295.12	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $660.69 / $1,348.96	Facility		$229.09	$660.69	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $512.86	Professional		$144.54	$199.53	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,238.72	Professional		$1,513.56	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $302.00 / $870.96	Facility		$223.87	$302.00	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $239.88 / $371.54	Professional		$7.94	$239.88	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $302.00	Professional		$251.19	$251.19	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $645.65	Professional		$302.00	$323.59	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $346.74 / $1,096.48	Facility		$213.80	$346.74	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $501.19	Professional		$144.54	$213.80	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $302.00	Facility		$107.15	$125.89	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $204.17	Professional		$125.89	$138.04	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $302.00	Professional		$117.49	$251.19	$302.00