Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.32 / $566.21 / $577.10	Facility		$555.32	$566.21	$577.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.36 / $577.10 / $814.70	Professional		$525.36	$577.10	$814.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $932.63 / $994.80 / $994.80	Professional		$932.63	$994.80	$994.80
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 $591.79 / $591.79 / $740.42	Professional		$591.79	$591.79	$740.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $870.45 / $932.63 / $1,243.50	Professional		$870.45	$932.63	$1,243.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,243.50 / $1,243.50 / $1,243.50	Facility		$1,243.50	$1,243.50	$1,243.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $756.07	Facility		$756.07	$756.07	$756.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $756.07	Professional		$551.92	$551.92	$756.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,077.92 / $5,761.13 / $5,761.13	Facility		$2,077.92	$5,761.13	$5,761.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,239.69 / $6,239.69 / $9,054.29	Professional		$6,239.69	$6,239.69	$9,054.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $355.96 / $933.55 / $1,243.50	Facility		$355.96	$933.55	$1,243.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $355.96 / $1,144.02 / $2,486.40	Professional		$355.96	$1,144.02	$2,486.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $403.30 / $1,319.10 / $4,762.60	Professional		$403.30	$1,319.10	$4,762.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.96 / $770.89 / $1,243.50	Facility		$355.96	$770.89	$1,243.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $825.98	Professional		$551.92	$551.92	$825.98
United Facility/Professional Professional Modifier Low / Median / High Price $459.49 / $664.46 / $791.03	Professional		$459.49	$664.46	$791.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $661.43 / $662.14 / $1,243.50	Professional		$661.43	$662.14	$1,243.50