Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.57 / $345.21 / $351.85	Facility		$338.57	$345.21	$351.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.57 / $381.77 / $615.59	Professional		$338.57	$381.77	$615.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $360.96 / $450.45 / $1,081.08	Professional		$360.96	$450.45	$1,081.08
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 $432.15 / $432.15 / $559.58	Professional		$432.15	$432.15	$559.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $409.49 / $526.48 / $768.13	Professional		$409.49	$526.48	$768.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $558.65 / $558.65 / $584.98	Facility		$558.65	$558.65	$584.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $679.05	Professional		$464.99	$464.99	$679.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,266.78 / $3,153.85 / $3,153.85	Facility		$1,266.78	$3,153.85	$3,153.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,494.50 / $4,494.50 / $4,856.85	Professional		$4,494.50	$4,494.50	$4,856.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.77 / $584.98 / $664.18	Facility		$371.77	$584.98	$664.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $497.23 / $584.98 / $672.73	Professional		$497.23	$584.98	$672.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $540.70 / $614.23 / $1,177.46	Professional		$540.70	$614.23	$1,177.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.85 / $584.98 / $656.94	Facility		$410.85	$584.98	$656.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $694.03	Professional		$464.99	$464.99	$694.03
United Facility/Professional Professional Modifier Low / Median / High Price $401.51 / $611.89 / $769.49	Professional		$401.51	$611.89	$769.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $574.54 / $584.98 / $685.32	Professional		$574.54	$584.98	$685.32