Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.61 / $187.69 / $430.30	Facility		$180.61	$187.69	$430.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $187.69 / $270.32	Professional		$154.87	$187.69	$270.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $287.14 / $287.14	Professional		$287.14	$287.14	$287.14
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 $192.48 / $192.48 / $240.82	Professional		$192.48	$192.48	$240.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $323.54 / $404.43	Professional		$250.24	$323.54	$404.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $404.43 / $404.43 / $404.43	Facility		$404.43	$404.43	$404.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Facility		$196.21	$196.21	$196.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $196.21	Professional		$143.22	$143.22	$196.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $819.39 / $1,587.88 / $1,921.04	Facility		$819.39	$1,587.88	$1,921.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,590.42 / $2,652.62 / $3,033.23	Professional		$2,590.42	$2,652.62	$3,033.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $270.23 / $404.43	Facility		$97.69	$270.23	$404.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $363.99 / $404.43	Professional		$97.69	$363.99	$404.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $404.43 / $444.87 / $909.97	Professional		$404.43	$444.87	$909.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $270.23 / $404.43	Facility		$97.69	$270.23	$404.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $202.10	Professional		$143.22	$143.22	$202.10
United Facility/Professional Professional Modifier Low / Median / High Price $126.11 / $186.55 / $217.09	Professional		$126.11	$186.55	$217.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.32 / $181.72 / $404.43	Professional		$181.32	$181.72	$404.43