Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $381.91 / $413.74	Facility		$366.00	$381.91	$413.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $308.82 / $862.06	Professional		$269.27	$308.82	$862.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.26 / $326.18 / $1,163.76	Professional		$318.26	$326.18	$1,163.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.49 / $1,072.07 / $1,309.91	Facility		$390.49	$1,072.07	$1,309.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.05 / $311.01 / $357.26	Professional		$249.05	$311.01	$357.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $338.15 / $429.65 / $537.24	Professional		$338.15	$429.65	$537.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $292.92 / $292.92 / $315.08	Facility		$292.92	$292.92	$315.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $386.44	Facility		$386.44	$386.44	$386.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.92 / $410.32 / $697.49	Professional		$300.92	$410.32	$697.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,515.34 / $1,634.95 / $4,869.80	Facility		$1,515.34	$1,634.95	$4,869.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,713.05 / $5,713.05 / $5,713.05	Professional		$5,713.05	$5,713.05	$5,713.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.93 / $373.24 / $658.05	Facility		$271.93	$373.24	$658.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $372.36 / $469.50 / $602.25	Professional		$372.36	$469.50	$602.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $397.82 / $649.79	Professional		$308.08	$397.82	$649.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.13 / $373.24 / $751.14	Facility		$273.13	$373.24	$751.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $446.53 / $821.46	Professional		$321.70	$446.53	$821.46
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $365.99 / $541.91	Professional		$278.17	$365.99	$541.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.35 / $324.56 / $445.56	Professional		$276.35	$324.56	$445.56