Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $389.84 / $1,025.80	Facility		$155.44	$389.84	$1,025.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $154.60 / $294.26	Professional		$125.34	$154.60	$294.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $104.46 / $125.35	Professional		$104.46	$104.46	$125.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.76 / $668.54 / $1,132.34	Facility		$256.76	$668.54	$1,132.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $167.14 / $292.49	Professional		$5.00	$167.14	$292.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $188.03 / $292.49	Professional		$146.24	$188.03	$292.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $208.92 / $208.92	Facility		$208.92	$208.92	$208.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.83 / $485.83 / $1,056.38	Facility		$188.83	$485.83	$1,056.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $198.63 / $413.00	Professional		$107.54	$198.63	$413.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $451.86 / $992.37 / $992.37	Facility		$451.86	$992.37	$992.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.59 / $1,044.59 / $1,566.90	Professional		$1,044.59	$1,044.59	$1,566.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $208.92 / $355.79	Facility		$127.44	$208.92	$355.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.47 / $208.92 / $313.38	Professional		$198.47	$208.92	$313.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $250.70 / $470.07	Professional		$135.80	$250.70	$470.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.12 / $256.70 / $903.34	Facility		$148.12	$256.70	$903.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $240.26 / $380.02	Professional		$115.50	$240.26	$380.02
United Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $87.75 / $208.92	Facility		$75.20	$87.75	$208.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $119.71 / $154.75	Professional		$87.75	$119.71	$154.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $208.92 / $282.04	Professional		$81.48	$208.92	$282.04