Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.77 / $182.27 / $185.78	Facility		$178.77	$182.27	$185.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $185.78 / $350.52	Professional		$175.26	$185.78	$350.52
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 $190.51 / $238.35 / $238.35	Professional		$190.51	$238.35	$238.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $280.22 / $300.23 / $400.31	Professional		$280.22	$300.23	$400.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $400.31 / $400.31 / $400.31	Facility		$400.31	$400.31	$400.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $184.40	Professional		$184.40	$184.40	$184.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.99 / $2,114.14 / $2,535.27	Facility		$1,238.99	$2,114.14	$2,535.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,916.85 / $4,010.85 / $4,010.85	Professional		$3,916.85	$4,010.85	$4,010.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $276.98 / $400.31	Facility		$128.93	$276.98	$400.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $364.98 / $533.74	Professional		$128.93	$364.98	$533.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $400.31 / $440.34 / $900.70	Professional		$400.31	$440.34	$900.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $267.48 / $400.31	Facility		$128.93	$267.48	$400.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $417.75	Professional		$184.40	$184.40	$417.75
United Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $240.67 / $286.51	Professional		$166.43	$240.67	$286.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $242.52 / $400.31	Professional		$239.83	$242.52	$400.31