Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $314.00 / $560.28	Facility		$130.72	$314.00	$560.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $138.56 / $253.82	Professional		$130.72	$138.56	$253.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $252.42 / $252.42	Professional		$252.42	$252.42	$252.42
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 $142.10 / $142.10 / $177.78	Professional		$142.10	$142.10	$177.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $238.86 / $298.58	Professional		$186.19	$238.86	$298.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $298.58 / $298.58 / $298.58	Facility		$298.58	$298.58	$298.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $231.60	Professional		$127.75	$127.75	$231.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $498.89 / $1,382.94 / $1,382.94	Facility		$498.89	$1,382.94	$1,382.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,495.20 / $1,495.20 / $2,173.94	Professional		$1,495.20	$1,495.20	$2,173.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $224.15 / $298.58	Facility		$85.45	$224.15	$298.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $268.72 / $298.58	Professional		$85.45	$268.72	$298.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.72 / $304.55 / $685.24	Professional		$268.72	$304.55	$685.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $179.50 / $298.58	Facility		$85.45	$179.50	$298.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $175.00 / $236.81	Professional		$127.75	$175.00	$236.81
United Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $300.68 / $353.74	Facility		$300.68	$300.68	$353.74
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $159.50 / $189.88	Professional		$110.30	$159.50	$189.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $159.35 / $298.58	Professional		$158.94	$159.35	$298.58