Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $240.02 / $709.06	Facility		$90.42	$240.02	$709.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $101.38 / $326.58	Professional		$45.00	$101.38	$326.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $82.20 / $82.20	Professional		$82.20	$82.20	$82.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.47 / $349.35 / $739.80	Facility		$179.47	$349.35	$739.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $75.34 / $191.80	Professional		$5.00	$75.34	$191.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $61.65 / $89.60	Facility		$16.75	$61.65	$89.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $186.32 / $308.25	Professional		$95.90	$186.32	$308.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $135.63 / $137.00	Facility		$135.63	$135.63	$137.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $298.94 / $605.98	Facility		$92.96	$298.94	$605.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $130.06 / $215.75	Professional		$64.33	$130.06	$215.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $335.65 / $650.75 / $650.75	Facility		$335.65	$650.75	$650.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $685.00 / $1,027.50	Professional		$685.00	$685.00	$1,027.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $137.00 / $233.32	Facility		$86.31	$137.00	$233.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $137.00 / $171.25	Professional		$130.15	$137.00	$171.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.54 / $226.39 / $292.89	Facility		$158.54	$226.39	$292.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $164.40 / $308.25	Professional		$89.05	$164.40	$308.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $160.91 / $479.66	Facility		$92.87	$160.91	$479.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $157.55 / $211.52	Professional		$69.36	$157.55	$211.52
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $87.68	Professional		$57.54	$57.54	$87.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $137.00 / $184.95	Professional		$53.43	$137.00	$184.95