Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $138.19 / $143.62	Facility		$49.66	$138.19	$143.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $143.62 / $270.99	Professional		$132.79	$143.62	$270.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $232.11 / $247.58	Professional		$184.40	$232.11	$247.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.29 / $147.29 / $184.27	Professional		$147.29	$147.29	$184.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $247.58 / $382.55	Professional		$191.27	$247.58	$382.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.48 / $309.48 / $309.48	Facility		$309.48	$309.48	$309.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $216.42	Professional		$157.99	$157.99	$216.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $684.80 / $1,611.98 / $1,960.04	Facility		$684.80	$1,611.98	$1,960.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.82 / $2,216.79 / $2,321.10	Professional		$2,164.82	$2,216.79	$2,321.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $214.13 / $309.48	Facility		$99.68	$214.13	$309.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $294.01 / $356.62	Professional		$189.40	$294.01	$356.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.48 / $331.45 / $710.26	Professional		$309.48	$331.45	$710.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $215.68 / $309.48	Facility		$99.68	$215.68	$309.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $244.45	Professional		$157.99	$157.99	$244.45
United Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $153.02 / $180.13	Facility		$118.62	$153.02	$180.13
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $186.06 / $221.50	Professional		$128.66	$186.06	$221.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $186.65 / $309.48	Professional		$185.41	$186.65	$309.48