Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.54 / $258.51 / $263.48	Facility		$253.54	$258.51	$263.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.63 / $263.48 / $371.98	Professional		$238.63	$263.48	$371.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $403.10 / $403.10 / $454.20	Professional		$403.10	$403.10	$454.20
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 $270.20 / $270.20 / $338.06	Professional		$270.20	$270.20	$338.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $354.06 / $454.20 / $567.75	Professional		$354.06	$454.20	$567.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $567.75 / $567.75 / $567.75	Facility		$567.75	$567.75	$567.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $315.25	Professional		$230.13	$230.13	$315.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $948.86 / $2,629.88 / $2,629.88	Facility		$948.86	$2,629.88	$2,629.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.18 / $2,843.18 / $4,134.08	Professional		$2,843.18	$2,843.18	$4,134.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $395.67 / $567.75	Facility		$162.49	$395.67	$567.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $510.98 / $567.75	Professional		$162.49	$510.98	$567.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $567.75 / $1,303.00	Professional		$184.20	$567.75	$1,303.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $379.36 / $567.75	Facility		$162.49	$379.36	$567.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $336.07	Professional		$230.13	$230.13	$336.07
United Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $299.39 / $361.08	Professional		$209.75	$299.39	$361.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $302.26 / $567.75	Professional		$230.00	$302.26	$567.75