Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $431.91 / $497.72	Facility		$311.00	$431.91	$497.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $497.72 / $817.94	Professional		$450.76	$497.72	$817.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $592.52 / $888.77 / $888.77	Professional		$592.52	$888.77	$888.77
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 $568.25 / $568.25 / $734.70	Professional		$568.25	$568.25	$734.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $550.73 / $720.18 / $847.27	Professional		$550.73	$720.18	$847.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $844.26 / $844.26 / $847.27	Facility		$844.26	$844.26	$847.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $952.31	Facility		$812.83	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $866.52	Professional		$593.37	$593.37	$866.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,561.07 / $3,899.19 / $3,899.19	Facility		$1,561.07	$3,899.19	$3,899.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,489.35 / $6,489.35 / $6,489.35	Professional		$6,489.35	$6,489.35	$6,489.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $763.72 / $898.49	Facility		$288.18	$763.72	$898.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.97 / $728.59 / $1,151.77	Professional		$375.97	$728.59	$1,151.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $847.27 / $913.66 / $3,245.04	Professional		$847.27	$913.66	$3,245.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $763.72 / $887.48	Facility		$288.18	$763.72	$887.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $952.31	Professional		$593.37	$593.37	$952.31
United Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $791.02 / $988.78	Professional		$525.22	$791.02	$988.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $742.43 / $762.75 / $847.27	Professional		$742.43	$762.75	$847.27