Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.38 / $217.59 / $999.70	Facility		$209.38	$217.59	$999.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.27 / $217.59 / $353.19	Professional		$205.27	$217.59	$353.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.43 / $332.88 / $351.64	Professional		$234.43	$332.88	$351.64
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 $223.13 / $223.13 / $279.17	Professional		$223.13	$223.13	$279.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $292.38 / $375.08 / $468.85	Professional		$292.38	$375.08	$468.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $246.32 / $246.32 / $468.85	Facility		$246.32	$246.32	$468.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $345.03	Professional		$251.87	$251.87	$345.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.33 / $2,336.91 / $2,801.65	Facility		$1,152.33	$2,336.91	$2,801.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,643.25 / $3,730.68 / $4,423.64	Professional		$3,643.25	$3,730.68	$4,423.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $324.39 / $468.85	Facility		$142.47	$324.39	$468.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $398.52 / $523.37	Professional		$142.47	$398.52	$523.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.10 / $478.23 / $1,054.91	Professional		$211.10	$478.23	$1,054.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $326.74 / $468.85	Facility		$142.47	$326.74	$468.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $367.82	Professional		$251.87	$251.87	$367.82
United Facility/Professional Professional Modifier Low / Median / High Price $183.91 / $265.95 / $316.61	Professional		$183.91	$265.95	$316.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.63 / $265.10 / $468.85	Professional		$262.63	$265.10	$468.85