Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.53 / $311.00 / $422.76	Facility		$160.53	$311.00	$422.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.87 / $323.87 / $581.03	Professional		$305.87	$323.87	$581.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $547.94 / $684.93	Professional		$342.47	$547.94	$684.93
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 $325.95 / $325.95 / $407.83	Professional		$325.95	$325.95	$407.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $427.13 / $547.94 / $684.93	Professional		$427.13	$547.94	$684.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $684.93 / $684.93 / $684.93	Facility		$684.93	$684.93	$684.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $335.80 / $460.00	Professional		$335.80	$335.80	$460.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,814.11 / $3,884.93 / $3,884.93	Facility		$3,814.11	$3,884.93	$3,884.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,383.55 / $4,383.55 / $6,849.30	Professional		$4,383.55	$4,383.55	$6,849.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $477.33 / $684.93	Facility		$220.60	$477.33	$684.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $616.44 / $684.93	Professional		$302.50	$616.44	$684.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $628.77 / $719.18 / $1,198.63	Professional		$628.77	$719.18	$1,198.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $460.00 / $684.93	Facility		$220.60	$460.00	$684.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $335.80 / $490.38	Professional		$335.80	$335.80	$490.38
United Facility/Professional Professional Modifier Low / Median / High Price $284.76 / $411.79 / $490.22	Professional		$284.76	$411.79	$490.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $410.35 / $684.93	Professional		$330.00	$410.35	$684.93