Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $467.74	Facility		$316.23	$316.23	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $1,318.26	Professional		$309.03	$436.52	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $851.14	Professional		$323.59	$389.05	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,819.70 / $2,137.96	Facility		$724.44	$1,819.70	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $380.19	Professional		$281.84	$338.84	$380.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $758.58	Professional		$380.19	$467.74	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $363.08	Facility		$331.13	$331.13	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $851.14	Professional		$354.81	$489.78	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $3,548.13 / $3,548.13	Professional		$446.68	$3,548.13	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $436.52 / $851.14	Facility		$316.23	$436.52	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $1,023.29	Professional		$309.03	$398.11	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $776.25	Professional		$346.74	$630.96	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $831.76	Facility		$316.23	$467.74	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $933.25	Professional		$346.74	$489.78	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $630.96	Professional		$323.59	$426.58	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $416.87	Professional		$263.03	$346.74	$416.87