Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.35 / $504.39 / $1,158.95	Facility		$485.35	$504.39	$1,158.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.19 / $504.39 / $818.44	Professional		$459.19	$504.39	$818.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $647.54 / $771.66 / $1,086.83	Professional		$647.54	$771.66	$1,086.83
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 $517.24 / $517.24 / $647.14	Professional		$517.24	$517.24	$647.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $760.79 / $1,032.50 / $1,086.83	Professional		$760.79	$1,032.50	$1,086.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,086.83 / $1,086.83 / $1,086.83	Facility		$1,086.83	$1,086.83	$1,086.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $702.03	Professional		$512.48	$512.48	$702.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,816.23 / $5,034.28 / $5,034.28	Facility		$1,816.23	$5,034.28	$5,034.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,442.94 / $5,442.94 / $7,913.70	Professional		$5,442.94	$5,442.94	$7,913.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $751.97 / $1,086.83	Facility		$311.04	$751.97	$1,086.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.04 / $978.16 / $1,086.83	Professional		$311.04	$978.16	$1,086.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $997.72 / $1,141.18 / $1,901.97	Professional		$997.72	$1,141.18	$1,901.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $726.19 / $1,086.83	Facility		$311.04	$726.19	$1,086.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $748.40	Professional		$512.48	$512.48	$748.40
United Facility/Professional Professional Modifier Low / Median / High Price $401.51 / $580.62 / $691.21	Professional		$401.51	$580.62	$691.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $578.59 / $1,086.83	Professional		$445.00	$578.59	$1,086.83