Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.79 / $801.39 / $1,884.43	Facility		$333.79	$801.39	$1,884.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.07 / $372.27 / $471.25	Professional		$301.07	$372.27	$471.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $389.82 / $778.70	Professional		$180.90	$389.82	$778.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $351.00 / $1,107.59	Facility		$260.00	$351.00	$1,107.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Professional		$260.00	$260.00	$260.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $442.53 / $442.53 / $475.43	Professional		$442.53	$442.53	$475.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Facility		$440.51	$440.51	$440.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $958.10 / $2,564.67 / $2,564.67	Facility		$958.10	$2,564.67	$2,564.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.62 / $3,033.62 / $4,217.63	Professional		$3,033.62	$3,033.62	$4,217.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.39 / $548.38 / $1,056.68	Facility		$368.39	$548.38	$1,056.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.69 / $572.49 / $585.00	Professional		$489.69	$572.49	$585.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $537.30 / $564.17	Professional		$359.44	$537.30	$564.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.28 / $440.51 / $811.43	Facility		$372.28	$440.51	$811.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $520.75	Professional		$520.75	$520.75	$520.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $338.65 / $351.00	Professional		$260.00	$338.65	$351.00