Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.01 / $354.01 / $382.33	Facility		$354.01	$354.01	$382.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.69 / $375.25 / $708.02	Professional		$325.69	$375.25	$708.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $404.29 / $574.09 / $646.86	Professional		$404.29	$574.09	$646.86
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 $384.81 / $384.81 / $481.45	Professional		$384.81	$384.81	$481.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $566.01 / $606.44 / $808.58	Professional		$566.01	$606.44	$808.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $808.58 / $808.58 / $808.58	Facility		$808.58	$808.58	$808.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $459.90	Facility		$459.90	$459.90	$459.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $335.73	Professional		$335.73	$335.73	$335.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,120.86 / $3,426.22 / $3,426.22	Facility		$3,120.86	$3,426.22	$3,426.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,002.47 / $4,002.47 / $4,548.22	Professional		$4,002.47	$4,002.47	$4,548.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $563.50 / $808.58	Facility		$195.32	$563.50	$808.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.52 / $632.85 / $808.58	Professional		$197.52	$632.85	$808.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $217.00 / $217.00	Professional		$217.00	$217.00	$217.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $540.27 / $808.58	Facility		$195.32	$540.27	$808.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $531.01	Professional		$335.73	$335.73	$531.01
United Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $372.97 / $466.21	Professional		$252.12	$372.97	$466.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.96 / $379.58 / $808.58	Professional		$366.96	$379.58	$808.58