Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $288.40 / $1,318.26	Facility		$275.42	$288.40	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $467.74	Professional		$251.19	$288.40	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $616.60	Professional		$346.74	$457.09	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $478.63	Professional		$295.12	$295.12	$478.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $630.96	Professional		$389.05	$512.86	$630.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $4,073.80	Professional		$3,235.94	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $478.63 / $794.33	Facility		$269.15	$478.63	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $630.96	Professional		$269.15	$288.40	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $380.19	Professional		$371.54	$371.54	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $467.74 / $794.33	Facility		$269.15	$467.74	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $575.44	Facility		$158.49	$251.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $363.08	Professional		$208.93	$302.00	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96