Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.19 / $251.01 / $255.84	Facility		$246.19	$251.01	$255.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $255.84 / $415.14	Professional		$241.36	$255.84	$415.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $413.46 / $551.28	Professional		$318.00	$413.46	$551.28
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 $262.36 / $262.36 / $328.25	Professional		$262.36	$262.36	$328.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $343.79 / $441.02 / $551.28	Professional		$343.79	$441.02	$551.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $482.72 / $482.72 / $551.28	Facility		$482.72	$482.72	$551.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $375.73	Professional		$274.27	$274.27	$375.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $921.30 / $2,563.00 / $2,563.00	Facility		$921.30	$2,563.00	$2,563.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,760.81 / $2,760.81 / $4,014.00	Professional		$2,760.81	$2,760.81	$4,014.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.84 / $468.59 / $551.28	Facility		$255.84	$468.59	$551.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.79 / $507.18 / $697.50	Professional		$358.79	$507.18	$697.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $562.30 / $1,265.20	Professional		$215.60	$562.30	$1,265.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.63 / $375.73 / $551.28	Facility		$268.63	$375.73	$551.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $445.02	Professional		$274.27	$274.27	$445.02
United Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $315.68 / $394.61	Professional		$203.66	$315.68	$394.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $301.51 / $551.28	Professional		$301.50	$301.51	$551.28