Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $575.25	Facility		$299.74	$299.74	$575.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $299.74 / $404.65	Professional		$299.74	$299.74	$404.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $55.50 / $832.00	Professional		$55.50	$55.50	$832.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.03 / $509.41 / $937.31	Facility		$213.03	$509.41	$937.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Professional		$135.94	$135.94	$135.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $483.29 / $483.29 / $516.88	Facility		$483.29	$483.29	$516.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Facility		$630.00	$630.00	$630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $1,252.74 / $1,721.31	Professional		$49.95	$1,252.74	$1,721.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $472.07	Facility		$299.74	$299.74	$472.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,312.50 / $8,030.25 / $15,680.00	Professional		$2,312.50	$8,030.25	$15,680.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $750.16 / $890.42 / $1,452.69	Professional		$750.16	$890.42	$1,452.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $463.87	Facility		$299.74	$299.74	$463.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $137.83 / $137.83	Professional		$49.95	$137.83	$137.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $95.88 / $129.44	Professional		$95.88	$95.88	$129.44