Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.27 / $596.50 / $2,093.71	Facility		$257.27	$596.50	$2,093.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.13 / $596.50 / $848.84	Professional		$470.13	$596.50	$848.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.37 / $616.00 / $825.13	Professional		$393.37	$616.00	$825.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.68 / $1,635.96 / $3,549.73	Facility		$771.68	$1,635.96	$3,549.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.68 / $771.68 / $771.68	Professional		$771.68	$771.68	$771.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $616.79 / $746.43 / $746.43	Facility		$616.79	$746.43	$746.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.13 / $106.13 / $106.13	Facility		$106.13	$106.13	$106.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.36 / $1,192.36 / $1,192.36	Professional		$1,192.36	$1,192.36	$1,192.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,526.17 / $4,357.03 / $4,357.03	Facility		$1,526.17	$4,357.03	$4,357.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,860.70 / $4,860.70 / $6,718.20	Professional		$4,860.70	$4,860.70	$6,718.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $608.42 / $929.73 / $1,302.63	Facility		$608.42	$929.73	$1,302.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $725.98 / $725.98 / $1,155.00	Professional		$725.98	$725.98	$1,155.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $561.44 / $839.29 / $881.25	Professional		$561.44	$839.29	$881.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $608.42 / $929.73 / $1,302.63	Facility		$608.42	$929.73	$1,302.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.98 / $1,087.07 / $1,192.36	Professional		$725.98	$1,087.07	$1,192.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,267.58 / $1,267.58 / $1,267.58	Facility		$1,267.58	$1,267.58	$1,267.58
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $894.72	Professional		$883.24	$883.24	$894.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $376.65 / $775.08	Professional		$279.00	$376.65	$775.08