Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $364.23 / $461.96	Facility		$302.33	$364.23	$461.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $409.27 / $525.98	Professional		$353.37	$409.27	$525.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.89 / $343.89 / $408.07	Professional		$343.89	$343.89	$408.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.07 / $436.43 / $623.91	Professional		$344.07	$436.43	$623.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $423.47 / $536.75 / $712.19	Professional		$423.47	$536.75	$712.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $341.44 / $374.51 / $418.53	Facility		$341.44	$374.51	$418.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.80 / $523.36 / $795.33	Professional		$391.80	$523.36	$795.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,805.97 / $1,965.12 / $1,965.12	Facility		$1,805.97	$1,965.12	$1,965.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.33 / $3,260.25 / $10,080.00	Professional		$2,505.33	$3,260.25	$10,080.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.88 / $414.46 / $597.65	Facility		$354.88	$414.46	$597.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $452.65 / $590.41 / $792.75	Professional		$452.65	$590.41	$792.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $379.32 / $498.69 / $789.22	Professional		$379.32	$498.69	$789.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.88 / $415.73 / $607.54	Facility		$354.88	$415.73	$607.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $399.76 / $565.11 / $1,031.41	Professional		$399.76	$565.11	$1,031.41
United Facility/Professional Facility Modifier Low / Median / High Price $654.72 / $654.72 / $654.72	Facility		$654.72	$654.72	$654.72
United Facility/Professional Professional Modifier Low / Median / High Price $331.24 / $448.29 / $721.63	Professional		$331.24	$448.29	$721.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $393.87 / $532.63	Professional		$335.70	$393.87	$532.63