Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.24 / $204.74 / $400.95	Facility		$98.24	$204.74	$400.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $111.22 / $205.97	Professional		$102.98	$111.22	$205.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $198.87 / $290.00	Professional		$171.24	$198.87	$290.00
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 $111.94 / $111.94 / $140.05	Professional		$111.94	$111.94	$140.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $176.41 / $294.01	Facility		$92.12	$176.41	$294.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $195.58 / $235.21	Professional		$176.41	$195.58	$235.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $235.07 / $235.07 / $235.21	Facility		$235.07	$235.07	$235.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $95.33 / $185.59	Professional		$95.33	$95.33	$185.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $393.05 / $1,089.41 / $1,089.41	Facility		$393.05	$1,089.41	$1,089.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.86 / $1,177.86 / $1,712.40	Professional		$1,177.86	$1,177.86	$1,712.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $176.60 / $235.21	Facility		$67.31	$176.60	$235.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $199.93 / $235.21	Professional		$67.31	$199.93	$235.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.69 / $235.21 / $539.79	Professional		$211.69	$235.21	$539.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $141.41 / $235.21	Facility		$67.31	$141.41	$235.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $189.77	Professional		$95.33	$130.59	$189.77
United Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $125.66 / $149.59	Professional		$86.89	$125.66	$149.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.22 / $127.31 / $235.21	Professional		$125.22	$127.31	$235.21