Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.05 / $337.80 / $1,105.00	Facility		$325.05	$337.80	$1,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.05 / $361.48 / $586.95	Professional		$325.05	$361.48	$586.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $434.78 / $675.72 / $868.65	Professional		$434.78	$675.72	$868.65
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 $416.65 / $416.65 / $539.30	Professional		$416.65	$416.65	$539.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $362.74 / $474.35 / $781.28	Professional		$362.74	$474.35	$781.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $446.14 / $446.14 / $558.05	Facility		$446.14	$446.14	$558.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $647.80	Facility		$621.29	$647.80	$647.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $472.90	Professional		$472.90	$472.90	$472.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.57 / $3,006.95 / $3,006.95	Facility		$1,207.57	$3,006.95	$3,006.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,196.00 / $4,196.00 / $4,633.35	Professional		$4,196.00	$4,196.00	$4,633.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $356.92 / $558.05 / $624.85	Facility		$356.92	$558.05	$624.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $474.35 / $558.05 / $687.52	Professional		$474.35	$558.05	$687.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $515.82 / $585.96 / $1,130.81	Professional		$515.82	$585.96	$1,130.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.14 / $558.05 / $647.80	Facility		$403.14	$558.05	$647.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $647.80	Professional		$472.90	$472.90	$647.80
United Facility/Professional Professional Modifier Low / Median / High Price $382.83 / $583.42 / $733.69	Professional		$382.83	$583.42	$733.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $547.82 / $558.05 / $653.37	Professional		$547.82	$558.05	$653.37