Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.87 / $593.91 / $1,331.20	Facility		$278.87	$593.91	$1,331.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.14 / $289.80 / $470.25	Professional		$274.14	$289.80	$470.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $383.21 / $443.37 / $468.35	Professional		$383.21	$443.37	$468.35
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 $297.19 / $297.19 / $371.82	Professional		$297.19	$297.19	$371.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $385.94 / $499.57 / $624.46	Professional		$385.94	$499.57	$624.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $328.08 / $328.08 / $624.46	Facility		$328.08	$328.08	$624.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $523.66	Facility		$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $382.28	Professional		$382.28	$382.28	$382.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,359.73 / $3,954.90 / $3,954.90	Facility		$3,359.73	$3,954.90	$3,954.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,996.53 / $4,022.60 / $6,244.58	Professional		$3,996.53	$4,022.60	$6,244.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $432.05 / $624.46	Facility		$201.12	$432.05	$624.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.17 / $574.50 / $640.52	Professional		$382.17	$574.50	$640.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.30 / $624.46 / $1,433.14	Professional		$265.30	$624.46	$1,433.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $435.19 / $624.46	Facility		$201.12	$435.19	$624.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $523.66	Professional		$382.28	$382.28	$523.66
United Facility/Professional Professional Modifier Low / Median / High Price $259.62 / $375.43 / $446.94	Professional		$259.62	$375.43	$446.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.18 / $376.03 / $624.46	Professional		$374.18	$376.03	$624.46