Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.42 / $225.76 / $286.08	Facility		$187.42	$225.76	$286.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.06 / $254.10 / $329.37	Professional		$210.06	$254.10	$329.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $238.40 / $267.32	Professional		$234.81	$238.40	$267.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $271.39 / $388.00	Professional		$213.96	$271.39	$388.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $262.24 / $332.32 / $441.04	Professional		$262.24	$332.32	$441.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $211.65 / $232.30 / $258.80	Facility		$211.65	$232.30	$258.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $325.08 / $492.32	Professional		$243.17	$325.08	$492.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.20 / $1,218.38 / $1,218.38	Facility		$1,120.20	$1,218.38	$1,218.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.95 / $2,023.28 / $5,040.00	Professional		$1,552.95	$2,023.28	$5,040.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.85 / $256.91 / $371.52	Facility		$219.85	$256.91	$371.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.77 / $366.22 / $557.37	Professional		$280.77	$366.22	$557.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.88 / $308.14 / $488.56	Professional		$234.88	$308.14	$488.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.85 / $257.95 / $376.78	Facility		$219.85	$257.95	$376.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.67 / $350.32 / $639.02	Professional		$247.67	$350.32	$639.02
United Facility/Professional Professional Modifier Low / Median / High Price $210.06 / $278.54 / $459.48	Professional		$210.06	$278.54	$459.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.88 / $243.88 / $329.78	Professional		$207.88	$243.88	$329.78