Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $478.63 / $1,202.26	Facility		$199.53	$478.63	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $331.13	Professional		$162.18	$208.93	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $407.38	Professional		$125.89	$131.83	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $812.83 / $1,380.38	Facility		$316.23	$812.83	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $144.54 / $354.81	Professional		$5.01	$144.54	$354.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $1,230.27	Facility		$234.42	$398.11	$1,230.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $398.11	Professional		$186.21	$316.23	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $263.03 / $263.03	Facility		$79.43	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,174.90	Facility		$213.80	$549.54	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $457.09	Professional		$128.82	$177.83	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $1,995.26	Professional		$1,318.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $724.44	Facility		$194.98	$269.15	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $208.93 / $331.13	Professional		$10.00	$208.93	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $263.03	Professional		$218.78	$218.78	$263.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $954.99	Facility		$190.55	$302.00	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $446.68	Professional		$128.82	$186.21	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $109.65 / $263.03	Facility		$95.50	$109.65	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $181.97	Professional		$109.65	$123.03	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $263.03	Professional		$102.33	$218.78	$263.03