Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $376.00 / $989.37	Facility		$149.91	$376.00	$989.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $149.11 / $283.81	Professional		$120.90	$149.11	$283.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $100.75 / $120.90	Professional		$100.75	$100.75	$120.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.64 / $642.78 / $1,110.26	Facility		$247.64	$642.78	$1,110.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $110.83 / $282.10	Professional		$5.00	$110.83	$282.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $181.35 / $282.10	Professional		$141.05	$181.35	$282.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.49 / $199.49 / $201.50	Facility		$199.49	$199.49	$201.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.12 / $468.57 / $1,018.04	Facility		$182.12	$468.57	$1,018.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $191.55 / $399.00	Professional		$103.62	$191.55	$399.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $435.80 / $957.13 / $957.13	Facility		$435.80	$957.13	$957.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.50 / $1,007.50 / $1,511.25	Professional		$1,007.50	$1,007.50	$1,511.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $201.50 / $343.16	Facility		$122.92	$201.50	$343.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.43 / $201.50 / $302.25	Professional		$191.43	$201.50	$302.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $241.80 / $453.38	Professional		$130.97	$241.80	$453.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.12 / $247.57 / $870.45	Facility		$148.12	$247.57	$870.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $231.73 / $366.17	Professional		$103.62	$231.73	$366.17
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $115.46 / $164.69	Professional		$84.63	$115.46	$164.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $201.50 / $272.02	Professional		$78.59	$201.50	$272.02