Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $215.90 / $401.39	Facility		$182.85	$215.90	$401.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.85 / $216.99 / $302.33	Professional		$182.85	$216.99	$302.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.84 / $187.84 / $197.44	Professional		$187.84	$187.84	$197.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.43 / $480.51 / $878.54	Facility		$204.43	$480.51	$878.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $260.95 / $371.70	Professional		$199.00	$260.95	$371.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $212.55 / $262.57 / $353.47	Professional		$212.55	$262.57	$353.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $201.58 / $207.83 / $207.83	Facility		$201.58	$207.83	$207.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $172.81 / $229.31	Facility		$159.13	$172.81	$229.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $239.31 / $352.95	Professional		$188.68	$239.31	$352.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.92 / $1,003.13 / $1,194.33	Facility		$422.92	$1,003.13	$1,194.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.85 / $1,509.85 / $1,851.90	Professional		$1,509.85	$1,509.85	$1,851.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $234.26 / $321.47	Facility		$204.05	$234.26	$321.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $319.26 / $425.68	Professional		$201.98	$319.26	$425.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.91 / $249.12 / $345.78	Professional		$213.91	$249.12	$345.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.98 / $233.17 / $318.83	Facility		$201.98	$233.17	$318.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.88 / $251.07 / $403.96	Professional		$191.88	$251.07	$403.96
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $217.62 / $310.76	Professional		$154.07	$217.62	$310.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.65 / $201.98 / $282.77	Professional		$181.65	$201.98	$282.77