Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.01 / $226.97 / $592.54	Facility		$90.01	$226.97	$592.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $88.58 / $155.74	Professional		$72.98	$88.58	$155.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $60.82 / $72.98	Professional		$60.82	$60.82	$72.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $379.49 / $675.72	Facility		$150.16	$379.49	$675.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $66.90 / $170.28	Professional		$5.00	$66.90	$170.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $116.30 / $176.36 / $387.50	Facility		$116.30	$176.36	$387.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $109.47 / $170.28	Professional		$85.14	$109.47	$170.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $170.28 / $170.28	Facility		$121.63	$170.28	$170.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $282.83 / $614.79	Facility		$115.48	$282.83	$614.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $84.34 / $249.75	Professional		$68.84	$84.34	$249.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $297.99 / $918.65 / $918.65	Facility		$297.99	$918.65	$918.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $608.15 / $608.15 / $912.23	Professional		$608.15	$608.15	$912.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $121.63 / $194.61	Facility		$76.63	$121.63	$194.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $121.63 / $177.58	Professional		$115.55	$121.63	$177.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $837.60 / $1,146.24 / $3,036.50	Facility		$837.60	$1,146.24	$3,036.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $145.96 / $273.67	Professional		$79.06	$145.96	$273.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.01 / $145.96 / $524.96	Facility		$90.01	$145.96	$524.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $115.57 / $234.85	Professional		$68.84	$115.57	$234.85
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $69.59 / $90.10	Professional		$51.08	$69.59	$90.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $121.63 / $164.20	Professional		$47.44	$121.63	$164.20