Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.36 / $918.39 / $2,732.91	Facility		$367.36	$918.39	$2,732.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.70 / $431.25 / $675.00	Professional		$311.70	$431.25	$675.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $139.15 / $333.96	Professional		$139.15	$139.15	$333.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.58 / $1,354.76 / $2,855.36	Facility		$723.58	$1,354.76	$2,855.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $306.13 / $779.24	Professional		$5.00	$306.13	$779.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $389.62 / $756.98 / $1,252.34	Professional		$389.62	$756.98	$1,252.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $353.02 / $353.02 / $556.60	Facility		$353.02	$353.02	$556.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $1,005.78 / $2,370.88	Facility		$204.82	$1,005.78	$2,370.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $528.92 / $876.09	Professional		$282.08	$528.92	$876.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $890.56 / $2,643.85 / $2,643.85	Facility		$890.56	$2,643.85	$2,643.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,783.00 / $2,783.00 / $4,174.50	Professional		$2,783.00	$2,783.00	$4,174.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.66 / $556.60 / $947.91	Facility		$350.66	$556.60	$947.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.77 / $556.60 / $695.75	Professional		$528.77	$556.60	$695.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $573.21 / $784.46 / $999.47	Facility		$573.21	$784.46	$999.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.79 / $667.92 / $1,252.34	Professional		$361.79	$667.92	$1,252.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.29 / $640.09 / $1,816.83	Facility		$327.29	$640.09	$1,816.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.82 / $640.09 / $974.05	Professional		$283.82	$640.09	$974.05
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $233.77 / $356.22	Professional		$233.77	$233.77	$356.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.07 / $556.60 / $751.41	Professional		$217.07	$556.60	$751.41