Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.95 / $540.02 / $1,642.36	Facility		$210.95	$540.02	$1,642.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $223.00 / $386.20	Professional		$168.76	$223.00	$386.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $180.81	Professional		$180.81	$180.81	$180.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.77 / $744.33 / $1,621.26	Facility		$394.77	$744.33	$1,621.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $165.74 / $421.89	Professional		$5.00	$165.74	$421.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $309.31 / $678.04	Professional		$210.95	$309.31	$678.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $568.35 / $568.35	Facility		$301.35	$568.35	$568.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.77 / $657.54 / $1,333.42	Facility		$215.77	$657.54	$1,333.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $286.19 / $474.55	Professional		$152.66	$286.19	$474.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $738.31 / $1,601.02 / $1,601.02	Facility		$738.31	$1,601.02	$1,601.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.75 / $1,506.75 / $2,260.13	Professional		$1,506.75	$1,506.75	$2,260.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.85 / $301.35 / $482.16	Facility		$189.85	$301.35	$482.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $301.35 / $452.03	Professional		$286.27	$301.35	$452.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.96 / $1,747.87 / $3,634.11	Facility		$1,350.96	$1,747.87	$3,634.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $361.62 / $678.04	Professional		$195.88	$361.62	$678.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.95 / $353.93 / $1,009.52	Facility		$210.95	$353.93	$1,009.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $346.55 / $474.55	Professional		$153.69	$346.55	$474.55
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $215.16	Professional		$126.57	$126.57	$215.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $301.35 / $406.82	Professional		$117.53	$301.35	$406.82