Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.90 / $594.91 / $830.70	Facility		$386.90	$594.91	$830.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $463.52	Professional		$391.06	$391.07	$463.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $536.29 / $536.29 / $536.29	Professional		$536.29	$536.29	$536.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.63 / $776.08 / $1,533.15	Facility		$306.63	$776.08	$1,533.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.94 / $381.94 / $381.94	Professional		$381.94	$381.94	$381.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $354.18 / $399.03 / $547.50	Professional		$354.18	$399.03	$547.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $391.07	Facility		$80.00	$80.00	$391.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $391.07 / $391.07	Facility		$368.93	$391.07	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $483.97 / $1,819.15 / $1,955.35	Facility		$483.97	$1,819.15	$1,955.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.59 / $1,601.59 / $1,601.59	Professional		$1,601.59	$1,601.59	$1,601.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $391.07 / $658.98	Facility		$383.07	$391.07	$658.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $398.89 / $645.27	Professional		$391.07	$398.89	$645.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.52 / $449.73 / $805.87	Professional		$371.52	$449.73	$805.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $391.07 / $674.52	Facility		$391.07	$391.07	$674.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $453.44	Professional		$391.07	$391.07	$453.44
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $414.53 / $435.34	Professional		$391.07	$414.53	$435.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.75 / $391.07 / $547.50	Professional		$362.75	$391.07	$547.50