Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.09 / $215.21 / $566.64	Facility		$207.09	$215.21	$566.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.90 / $215.21 / $349.20	Professional		$194.90	$215.21	$349.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.87 / $276.29 / $370.98	Professional		$231.87	$276.29	$370.98
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 $220.69 / $220.69 / $276.11	Professional		$220.69	$220.69	$276.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $320.57 / $347.80 / $463.73	Facility		$320.57	$347.80	$463.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $301.42 / $347.80 / $463.73	Professional		$301.42	$347.80	$463.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $463.73 / $463.73 / $463.73	Facility		$463.73	$463.73	$463.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $350.29	Facility		$315.73	$315.73	$350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $315.73	Professional		$230.48	$230.48	$315.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,210.04 / $2,541.06 / $2,541.06	Facility		$2,210.04	$2,541.06	$2,541.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,567.81 / $2,567.81 / $3,426.83	Professional		$2,567.81	$2,567.81	$3,426.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $320.86 / $463.73	Facility		$134.44	$320.86	$463.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $417.36 / $533.29	Professional		$134.44	$417.36	$533.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.73 / $496.65 / $1,064.25	Professional		$463.73	$496.65	$1,064.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $315.73 / $463.73	Facility		$134.44	$315.73	$463.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $350.29	Professional		$230.48	$230.48	$350.29
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $173.54 / $250.96 / $298.76	Professional		$173.54	$250.96	$298.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.09 / $253.85 / $463.73	Professional		$250.09	$253.85	$463.73