Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.77 / $871.07 / $943.66	Facility		$834.77	$871.07	$943.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.53 / $712.06 / $1,938.07	Professional		$615.53	$712.06	$1,938.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $943.66 / $943.66 / $2,608.60	Professional		$943.66	$943.66	$2,608.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.19 / $718.63 / $815.52	Professional		$592.19	$718.63	$815.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $774.95 / $963.40 / $1,850.75	Professional		$774.95	$963.40	$1,850.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $668.67 / $668.67 / $718.66	Facility		$668.67	$668.67	$718.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $883.74	Facility		$883.74	$883.74	$883.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.46 / $956.53 / $1,615.62	Professional		$692.46	$956.53	$1,615.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,685.72 / $3,456.04 / $3,729.84	Facility		$1,685.72	$3,456.04	$3,729.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,032.99 / $7,032.99 / $7,032.99	Professional		$7,032.99	$7,032.99	$7,032.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.49 / $851.35 / $1,513.60	Facility		$624.49	$851.35	$1,513.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $849.24 / $1,107.71 / $1,373.55	Professional		$849.24	$1,107.71	$1,373.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $702.97 / $892.76 / $1,439.18	Professional		$702.97	$892.76	$1,439.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.49 / $851.35 / $1,716.55	Facility		$624.49	$851.35	$1,716.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $735.63 / $1,029.99 / $1,902.04	Professional		$735.63	$1,029.99	$1,902.04
United Facility/Professional Professional Modifier Low / Median / High Price $624.98 / $851.80 / $1,292.97	Professional		$624.98	$851.80	$1,292.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.26 / $740.30 / $1,016.25	Professional		$630.26	$740.30	$1,016.25