Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.84 / $359.42 / $962.50	Facility		$143.84	$359.42	$962.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.94 / $202.16 / $328.03	Professional		$193.94	$202.16	$328.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $326.70 / $560.00	Professional		$326.70	$326.70	$560.00
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 $207.31 / $207.31 / $259.37	Professional		$207.31	$207.31	$259.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $358.97 / $435.61	Professional		$271.64	$358.97	$435.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $435.61 / $435.61 / $435.61	Facility		$435.61	$435.61	$435.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $293.31	Facility		$293.31	$293.31	$293.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $399.35	Professional		$214.12	$214.12	$399.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,269.46 / $2,758.85 / $2,758.85	Facility		$2,269.46	$2,758.85	$2,758.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,787.89 / $2,787.89 / $3,376.05	Professional		$2,787.89	$2,787.89	$3,376.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $303.58 / $435.61	Facility		$140.30	$303.58	$435.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $392.05 / $456.86	Professional		$140.30	$392.05	$456.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $399.89 / $457.39 / $762.32	Professional		$399.89	$457.39	$762.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $293.31 / $435.61	Facility		$140.30	$293.31	$435.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $400.04	Professional		$214.12	$214.12	$400.04
United Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $493.69 / $580.80	Facility		$493.69	$493.69	$580.80
United Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $261.89 / $311.77	Professional		$181.10	$261.89	$311.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.98 / $270.51 / $435.61	Professional		$260.98	$270.51	$435.61