Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $208.53 / $212.54	Facility		$204.52	$208.53	$212.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.48 / $212.54 / $368.69	Professional		$192.48	$212.54	$368.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.87 / $272.87 / $366.37	Professional		$272.87	$272.87	$366.37
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 $217.95 / $217.95 / $272.69	Professional		$217.95	$217.95	$272.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $320.57 / $389.27 / $457.96	Professional		$320.57	$389.27	$457.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $457.96 / $457.96 / $457.96	Facility		$457.96	$457.96	$457.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $264.44	Facility		$261.02	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $264.44	Professional		$193.04	$193.04	$264.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.33 / $2,238.26 / $2,606.52	Facility		$1,163.33	$2,238.26	$2,606.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,677.85 / $3,766.14 / $4,115.55	Professional		$3,677.85	$3,766.14	$4,115.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $319.14 / $457.96	Facility		$132.55	$319.14	$457.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $411.55 / $457.96	Professional		$132.55	$411.55	$457.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $467.12 / $1,030.41	Professional		$412.16	$467.12	$1,030.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $305.99 / $457.96	Facility		$132.55	$305.99	$457.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $281.91	Professional		$193.04	$193.04	$281.91
United Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $247.43 / $294.55	Professional		$171.10	$247.43	$294.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $246.56 / $457.96	Professional		$246.56	$246.56	$457.96