Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $1,047.13	Facility		$354.81	$512.86	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $645.65	Professional		$239.88	$338.84	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $316.23	Professional		$134.90	$269.15	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $512.86 / $954.99	Facility		$204.17	$512.86	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $1,122.02	Facility		$436.52	$436.52	$1,122.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Professional		$338.84	$338.84	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $478.63 / $1,023.29	Facility		$354.81	$478.63	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $588.84	Professional		$257.04	$363.08	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $331.13 / $354.81	Professional		$30.20	$331.13	$354.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $288.40 / $288.40	Facility		$57.54	$288.40	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $1,174.90	Facility		$371.54	$446.68	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $398.11	Professional		$316.23	$389.05	$398.11