Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.99 / $548.54 / $559.09	Facility		$537.99	$548.54	$559.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.99 / $559.09 / $877.31	Professional		$508.99	$559.09	$877.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $717.78 / $855.34 / $1,204.70	Professional		$717.78	$855.34	$1,204.70
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 $573.33 / $573.33 / $717.32	Professional		$573.33	$573.33	$717.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $843.29 / $903.53 / $1,204.70	Professional		$843.29	$903.53	$1,204.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,204.70 / $1,204.70 / $1,204.70	Facility		$1,204.70	$1,204.70	$1,204.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $958.87	Facility		$736.69	$736.69	$958.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $537.78	Professional		$537.78	$537.78	$537.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,013.21 / $5,580.24 / $5,580.24	Facility		$2,013.21	$5,580.24	$5,580.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,033.17 / $6,033.17 / $8,772.00	Professional		$6,033.17	$6,033.17	$8,772.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.78 / $833.54 / $1,204.70	Facility		$344.78	$833.54	$1,204.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $1,084.23 / $1,204.70	Professional		$344.78	$1,084.23	$1,204.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.93 / $1,264.93 / $1,290.23	Professional		$1,264.93	$1,264.93	$1,290.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.78 / $804.96 / $1,204.70	Facility		$344.78	$804.96	$1,204.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $972.50	Professional		$537.78	$537.78	$972.50
United Facility/Professional Professional Modifier Low / Median / High Price $445.05 / $643.59 / $766.18	Professional		$445.05	$643.59	$766.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.34 / $643.89 / $1,204.70	Professional		$641.34	$643.89	$1,204.70