Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.38 / $316.31 / $1,452.10	Facility		$304.38	$316.31	$1,452.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.95 / $316.31 / $539.83	Professional		$287.95	$316.31	$539.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $483.92 / $511.19	Professional		$469.82	$483.92	$511.19
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 $324.37 / $324.37 / $405.84	Professional		$324.37	$324.37	$405.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $421.25 / $545.26 / $681.58	Professional		$421.25	$545.26	$681.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $681.58 / $681.58 / $681.58	Facility		$681.58	$681.58	$681.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $419.48	Facility		$419.48	$419.48	$419.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $419.48	Professional		$306.22	$306.22	$419.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.02 / $3,157.08 / $3,157.08	Facility		$1,139.02	$3,157.08	$3,157.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,413.19 / $3,413.19 / $4,962.89	Professional		$3,413.19	$3,413.19	$4,962.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.06 / $475.00 / $681.58	Facility		$195.06	$475.00	$681.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.06 / $579.34 / $681.58	Professional		$195.06	$579.34	$681.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $613.41 / $715.66 / $1,564.22	Professional		$613.41	$715.66	$1,564.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.06 / $455.42 / $681.58	Facility		$195.06	$455.42	$681.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $491.90	Professional		$306.22	$306.22	$491.90
United Facility/Professional Professional Modifier Low / Median / High Price $251.79 / $363.75 / $433.47	Professional		$251.79	$363.75	$433.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.84 / $396.47 / $681.58	Professional		$362.84	$396.47	$681.58