Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $380.19	Facility		$354.81	$354.81	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $660.69	Professional		$269.15	$354.81	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $645.65	Professional		$389.05	$489.78	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $812.83	Professional		$489.78	$660.69	$812.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $831.76 / $831.76	Facility		$79.43	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,570.88 / $4,570.88	Professional		$3,981.07	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $602.56 / $1,000.00	Facility		$323.59	$602.56	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $707.95	Professional		$281.84	$363.08	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $467.74	Professional		$457.09	$457.09	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $602.56 / $1,000.00	Facility		$323.59	$602.56	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $707.95	Facility		$229.09	$426.58	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $467.74	Professional		$251.19	$380.19	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76