Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $181.41 / $184.90	Facility		$174.44	$181.41	$184.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.95 / $184.90 / $393.56	Professional		$170.95	$184.90	$393.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $298.82 / $400.00	Professional		$169.33	$298.82	$400.00
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 $189.61 / $189.61 / $237.23	Professional		$189.61	$189.61	$237.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $248.46 / $318.74 / $398.42	Professional		$248.46	$318.74	$398.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $279.10 / $279.10 / $398.42	Facility		$279.10	$279.10	$398.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $237.10	Professional		$173.08	$173.08	$237.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $770.26 / $2,002.53 / $2,403.12	Facility		$770.26	$2,002.53	$2,403.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,428.42 / $2,428.42 / $3,044.40	Professional		$2,428.42	$2,428.42	$3,044.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $277.66 / $398.42	Facility		$122.21	$277.66	$398.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.21 / $358.58 / $398.42	Professional		$122.21	$358.58	$398.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $358.58 / $406.39 / $896.45	Professional		$358.58	$406.39	$896.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $266.20 / $398.42	Facility		$122.21	$266.20	$398.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $252.76	Professional		$173.08	$173.08	$252.76
United Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $228.13 / $271.58	Professional		$157.75	$228.13	$271.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.33 / $230.17 / $398.42	Professional		$227.33	$230.17	$398.42