Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $164.91 / $757.90	Facility		$158.69	$164.91	$757.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.02 / $164.91 / $233.36	Professional		$140.02	$164.91	$233.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $252.29 / $252.29	Professional		$190.00	$252.29	$252.29
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 $169.11 / $169.11 / $211.58	Professional		$169.11	$169.11	$211.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $248.74 / $266.51 / $355.34	Professional		$248.74	$266.51	$355.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $226.45 / $226.45 / $355.34	Facility		$226.45	$226.45	$355.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $191.33	Facility		$175.81	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $187.43	Professional		$128.34	$128.34	$187.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $616.16 / $1,417.95 / $1,687.87	Facility		$616.16	$1,417.95	$1,687.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.79 / $1,897.25 / $1,998.83	Professional		$1,852.79	$1,897.25	$1,998.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $237.44 / $355.34	Facility		$85.84	$237.44	$355.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $311.26 / $355.34	Professional		$85.84	$311.26	$355.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.50 / $355.34 / $815.51	Professional		$266.50	$355.34	$815.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $237.44 / $355.34	Facility		$85.84	$237.44	$355.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $214.68	Professional		$128.34	$128.34	$214.68
United Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $160.07 / $190.75	Professional		$110.80	$160.07	$190.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $159.66 / $355.34	Professional		$125.00	$159.66	$355.34