Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.23 / $489.71 / $783.48	Facility		$471.23	$489.71	$783.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.64 / $489.71 / $762.52	Professional		$450.64	$489.71	$762.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $527.61 / $749.21 / $844.18	Professional		$527.61	$749.21	$844.18
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 $502.19 / $502.19 / $628.30	Professional		$502.19	$502.19	$628.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $738.65 / $844.18 / $1,055.22	Professional		$738.65	$844.18	$1,055.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $143.47 / $1,055.22	Facility		$143.47	$143.47	$1,055.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $632.51	Professional		$461.73	$461.73	$632.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,772.90 / $4,802.66 / $4,802.66	Facility		$1,772.90	$4,802.66	$4,802.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,555.28 / $5,555.28 / $8,680.12	Professional		$5,555.28	$5,555.28	$8,680.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $731.84 / $1,055.22	Facility		$296.57	$731.84	$1,055.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.57 / $949.70 / $1,055.22	Professional		$296.57	$949.70	$1,055.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $968.69 / $1,107.98 / $1,846.63	Professional		$968.69	$1,107.98	$1,846.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $705.06 / $1,055.22	Facility		$296.57	$705.06	$1,055.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $741.71	Professional		$461.73	$461.73	$741.71
United Facility/Professional Professional Modifier Low / Median / High Price $382.83 / $553.60 / $659.05	Professional		$382.83	$553.60	$659.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $551.74 / $557.09 / $1,055.22	Professional		$551.74	$557.09	$1,055.22