Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.53 / $495.61 / $1,464.08	Facility		$189.53	$495.61	$1,464.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $209.33 / $388.47	Professional		$126.50	$209.33	$388.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $169.73 / $169.73	Professional		$169.73	$169.73	$169.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.57 / $721.34 / $1,711.42	Facility		$370.57	$721.34	$1,711.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $155.58 / $396.03	Professional		$5.00	$155.58	$396.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $290.33 / $636.48	Professional		$198.02	$290.33	$636.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Facility		$282.88	$282.88	$282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.43 / $646.84 / $1,252.44	Facility		$242.43	$646.84	$1,252.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.37 / $268.81 / $481.58	Professional		$143.37	$268.81	$481.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $693.06 / $6,610.71 / $6,610.71	Facility		$693.06	$6,610.71	$6,610.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $1,414.40 / $2,121.60	Professional		$1,414.40	$1,414.40	$2,121.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $282.88 / $424.32	Facility		$172.56	$282.88	$424.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $282.88 / $353.60	Professional		$268.74	$282.88	$353.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $339.46 / $636.48	Professional		$183.87	$339.46	$636.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.43 / $325.31 / $1,033.34	Facility		$189.43	$325.31	$1,033.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.37 / $325.31 / $481.58	Professional		$143.37	$325.31	$481.58
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $174.25	Professional		$118.81	$118.81	$174.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $282.88 / $381.89	Professional		$110.32	$282.88	$381.89