Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $484.88 / $1,086.80	Facility		$227.81	$484.88	$1,086.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.35 / $236.75 / $384.15	Professional		$223.35	$236.75	$384.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $313.07 / $362.19 / $408.10	Professional		$313.07	$362.19	$408.10
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 $242.78 / $242.78 / $303.75	Professional		$242.78	$242.78	$303.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $315.29 / $408.10 / $510.13	Professional		$315.29	$408.10	$510.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $510.13 / $510.13 / $510.13	Facility		$510.13	$510.13	$510.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $361.45	Professional		$263.86	$263.86	$361.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,665.73 / $3,230.86 / $3,230.86	Facility		$2,665.73	$3,230.86	$3,230.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.30 / $3,573.05 / $4,411.58	Professional		$3,489.30	$3,573.05	$4,411.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $355.52 / $510.13	Facility		$164.30	$355.52	$510.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $469.32 / $510.91	Professional		$164.30	$469.32	$510.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $520.33 / $1,147.79	Professional		$187.40	$520.33	$1,147.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $355.52 / $510.13	Facility		$164.30	$355.52	$510.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $402.02	Professional		$263.86	$263.86	$402.02
United Facility/Professional Professional Modifier Low / Median / High Price $212.08 / $306.70 / $365.12	Professional		$212.08	$306.70	$365.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.63 / $307.66 / $510.13	Professional		$305.63	$307.66	$510.13