Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.05 / $250.50 / $250.50	Facility		$241.05	$250.50	$250.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.05 / $285.41 / $482.47	Professional		$241.05	$285.41	$482.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.09 / $408.09 / $674.64	Professional		$408.09	$408.09	$674.64
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 $294.45 / $294.45 / $382.72	Professional		$294.45	$294.45	$382.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $376.71 / $534.27	Professional		$293.14	$376.71	$534.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $374.34 / $374.34 / $443.19	Facility		$374.34	$374.34	$443.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $489.93	Facility		$465.67	$465.67	$489.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $465.67	Professional		$339.94	$339.94	$465.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $898.64 / $2,424.52 / $2,424.52	Facility		$898.64	$2,424.52	$2,424.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,450.30 / $3,450.30 / $3,679.65	Professional		$3,450.30	$3,450.30	$3,679.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.41 / $443.19 / $523.54	Facility		$285.41	$443.19	$523.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $443.19 / $646.75	Professional		$375.00	$443.19	$646.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.64 / $465.35 / $835.40	Professional		$409.64	$465.35	$835.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.68 / $443.19 / $472.65	Facility		$316.68	$443.19	$472.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $489.93	Professional		$339.94	$339.94	$489.93
United Facility/Professional Professional Modifier Low / Median / High Price $284.76 / $428.86 / $536.08	Professional		$284.76	$428.86	$536.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $413.53 / $443.19 / $453.88	Professional		$413.53	$443.19	$453.88