Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.76 / $264.75 / $1,270.09	Facility		$254.76	$264.75	$1,270.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.76 / $264.75 / $403.91	Professional		$249.76	$264.75	$403.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.24 / $405.03 / $427.85	Professional		$285.24	$405.03	$427.85
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 $271.49 / $271.49 / $339.67	Professional		$271.49	$271.49	$339.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $355.75 / $456.38 / $570.47	Professional		$355.75	$456.38	$570.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $570.47 / $570.47 / $570.47	Facility		$570.47	$570.47	$570.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $372.88	Facility		$372.88	$372.88	$372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $272.20 / $372.88	Professional		$272.20	$272.20	$372.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,004.61 / $3,528.63 / $3,528.63	Facility		$3,004.61	$3,528.63	$3,528.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,565.78 / $3,565.78 / $5,304.23	Professional		$3,565.78	$3,565.78	$5,304.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $397.56 / $570.47	Facility		$179.44	$397.56	$570.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $521.16 / $598.53	Professional		$179.44	$521.16	$598.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $570.47 / $1,309.23	Professional		$225.40	$570.47	$1,309.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $381.17 / $570.47	Facility		$179.44	$381.17	$570.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $272.20 / $397.51	Professional		$272.20	$272.20	$397.51
United Facility/Professional Professional Modifier Low / Median / High Price $231.63 / $342.66 / $398.76	Professional		$231.63	$342.66	$398.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $333.79 / $350.31 / $570.47	Professional		$333.79	$350.31	$570.47