Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.76 / $541.44 / $958.82	Facility		$223.76	$541.44	$958.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $242.05 / $318.22	Professional		$198.34	$242.05	$318.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $239.65 / $600.00	Professional		$155.63	$239.65	$600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $696.02 / $1,285.75	Facility		$296.08	$696.02	$1,285.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $274.54 / $322.99	Professional		$64.59	$274.54	$322.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $198.63 / $264.44	Facility		$150.47	$198.63	$264.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $250.46 / $257.58 / $384.35	Professional		$250.46	$257.58	$384.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $311.39 / $311.39 / $311.39	Facility		$311.39	$311.39	$311.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $180.56 / $268.23	Facility		$139.16	$180.56	$268.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.06 / $305.24 / $481.65	Professional		$221.06	$305.24	$481.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $533.69 / $1,165.65 / $1,333.47	Facility		$533.69	$1,165.65	$1,333.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.91 / $1,550.91 / $2,151.08	Professional		$1,550.91	$1,550.91	$2,151.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.31 / $259.12 / $346.80	Facility		$211.31	$259.12	$346.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $325.00 / $900.00	Professional		$259.12	$325.00	$900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.30 / $281.52 / $395.80	Professional		$239.30	$281.52	$395.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $256.06 / $382.42	Facility		$205.70	$256.06	$382.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.65 / $329.64 / $481.65	Professional		$239.65	$329.64	$481.65
United Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $260.16 / $422.25	Professional		$190.00	$260.16	$422.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $323.89 / $429.88	Professional		$259.12	$323.89	$429.88