Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.92 / $173.25 / $176.59	Facility		$169.92	$173.25	$176.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $179.92 / $397.76	Professional		$166.59	$179.92	$397.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.26 / $270.16 / $285.38	Professional		$190.26	$270.16	$285.38
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 $181.09 / $181.09 / $226.56	Professional		$181.09	$181.09	$226.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $266.36 / $304.41 / $380.51	Professional		$266.36	$304.41	$380.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.51 / $380.51 / $380.51	Facility		$380.51	$380.51	$380.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $211.27	Professional		$154.22	$154.22	$211.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $635.86 / $1,762.49 / $1,762.49	Facility		$635.86	$1,762.49	$1,762.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.35 / $1,905.35 / $2,770.58	Professional		$1,905.35	$1,905.35	$2,770.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $254.24 / $380.51	Facility		$108.90	$254.24	$380.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $335.63 / $380.51	Professional		$108.90	$335.63	$380.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $380.51 / $873.27	Professional		$198.80	$380.51	$873.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $228.76 / $380.51	Facility		$108.90	$228.76	$380.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $225.22	Professional		$154.22	$154.22	$225.22
United Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $203.27 / $241.99	Professional		$140.57	$203.27	$241.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.56 / $221.34 / $380.51	Professional		$202.56	$221.34	$380.51