Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.48 / $167.70 / $170.93	Facility		$164.48	$167.70	$170.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $170.93 / $287.17	Professional		$161.22	$170.93	$287.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.66 / $323.54 / $404.43	Professional		$296.66	$323.54	$404.43
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 $193.95 / $193.95 / $250.88	Professional		$193.95	$193.95	$250.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $205.25 / $234.57 / $292.27	Professional		$205.25	$234.57	$292.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $293.20 / $293.20	Facility		$293.20	$293.20	$293.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $301.51	Professional		$220.10	$220.10	$301.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $535.82 / $1,352.24 / $1,352.24	Facility		$535.82	$1,352.24	$1,352.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.85 / $2,066.44 / $2,066.44	Professional		$2,058.85	$2,066.44	$2,066.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $264.30 / $310.94	Facility		$99.73	$264.30	$310.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $249.23 / $337.19	Professional		$130.11	$249.23	$337.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $316.19 / $659.72	Professional		$293.20	$316.19	$659.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $255.14 / $301.51	Facility		$99.73	$255.14	$301.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $314.97	Professional		$220.10	$220.10	$314.97
United Facility/Professional Professional Modifier Low / Median / High Price $183.99 / $277.08 / $346.36	Professional		$183.99	$277.08	$346.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.19 / $283.76 / $293.20	Professional		$267.19	$283.76	$293.20