Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.99 / $372.03 / $1,709.50	Facility		$357.99	$372.03	$1,709.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.98 / $372.03 / $607.19	Professional		$350.98	$372.03	$607.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $400.83 / $569.16 / $641.32	Professional		$400.83	$569.16	$641.32
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 $381.51 / $381.51 / $477.33	Professional		$381.51	$381.51	$477.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $495.46 / $641.32 / $801.65	Professional		$495.46	$641.32	$801.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $801.65 / $801.65 / $801.65	Facility		$801.65	$801.65	$801.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $544.74	Facility		$544.74	$544.74	$544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $397.66 / $544.74	Professional		$397.66	$397.66	$544.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,603.29 / $4,222.76 / $4,222.76	Facility		$1,603.29	$4,222.76	$4,222.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,103.60 / $5,103.60 / $7,974.38	Professional		$5,103.60	$5,103.60	$7,974.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $558.66 / $801.65	Facility		$258.19	$558.66	$801.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $490.61 / $740.98 / $833.34	Professional		$490.61	$740.98	$833.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.80 / $801.65 / $1,839.78	Professional		$338.80	$801.65	$1,839.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $544.74 / $801.65	Facility		$258.19	$544.74	$801.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $397.66 / $638.79	Professional		$397.66	$397.66	$638.79
United Facility/Professional Professional Modifier Low / Median / High Price $333.28 / $475.72 / $573.75	Professional		$333.28	$475.72	$573.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $480.27 / $537.21 / $801.65	Professional		$480.27	$537.21	$801.65