Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.23 / $188.34 / $449.80	Facility		$181.23	$188.34	$449.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.57 / $188.34 / $298.43	Professional		$170.57	$188.34	$298.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $202.91 / $305.00	Professional		$202.91	$202.91	$305.00
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 $193.14 / $193.14 / $241.64	Professional		$193.14	$193.14	$241.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $250.82 / $304.37 / $366.05	Professional		$250.82	$304.37	$366.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $299.02 / $299.02 / $405.82	Facility		$299.02	$299.02	$405.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $243.27	Professional		$167.54	$167.54	$243.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $861.15 / $1,920.53 / $2,158.44	Facility		$861.15	$1,920.53	$2,158.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,381.81 / $2,438.96 / $2,922.75	Professional		$2,381.81	$2,438.96	$2,922.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $282.82 / $405.82	Facility		$109.77	$282.82	$405.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $359.34 / $405.82	Professional		$109.77	$359.34	$405.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $365.24 / $413.94 / $913.10	Professional		$365.24	$413.94	$913.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $271.16 / $405.82	Facility		$109.77	$271.16	$405.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $245.18	Professional		$167.54	$167.54	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $204.90 / $243.93	Professional		$141.69	$204.90	$243.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $206.00 / $405.82	Professional		$204.18	$206.00	$405.82