Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $337.16 / $76,535.95	Facility		$183.47	$337.16	$76,535.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $185.31 / $231.18	Professional		$183.48	$185.31	$231.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $256.77 / $256.77	Professional		$256.77	$256.77	$256.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.46 / $370.69 / $732.30	Facility		$146.46	$370.69	$732.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $183.80 / $183.80	Professional		$183.80	$183.80	$183.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $151.62 / $173.85 / $13,683.99	Facility		$151.62	$173.85	$13,683.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $201.83 / $275.12	Professional		$173.85	$201.83	$275.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $13,611.78 / $13,611.78 / $13,611.78	Facility		$13,611.78	$13,611.78	$13,611.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $183.48 / $183.48	Facility		$173.09	$183.48	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.73 / $901.10 / $917.40	Facility		$239.73	$901.10	$917.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,591.34 / $7,591.34 / $7,591.34	Professional		$7,591.34	$7,591.34	$7,591.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $183.48 / $321.08	Facility		$183.41	$183.48	$321.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $187.15 / $302.74	Professional		$183.48	$187.15	$302.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $205.61 / $361.60	Professional		$183.48	$205.61	$361.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $183.48 / $323.87	Facility		$183.48	$183.48	$323.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $221.10	Professional		$183.48	$183.48	$221.10
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $204.25	Professional		$183.48	$194.49	$204.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $183.48 / $256.87	Professional		$180.05	$183.48	$256.87