Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.41 / $202.41 / $218.60	Facility		$202.41	$202.41	$218.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $218.60 / $404.82	Professional		$186.22	$218.60	$404.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $328.24 / $346.73	Professional		$275.45	$328.24	$346.73
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 $220.02 / $220.02 / $275.27	Professional		$220.02	$220.02	$275.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $323.62 / $346.73 / $462.31	Professional		$323.62	$346.73	$462.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $312.02 / $312.02 / $462.31	Facility		$312.02	$312.02	$462.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $232.98	Professional		$170.08	$170.08	$232.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,951.09 / $2,187.42 / $2,187.42	Facility		$1,951.09	$2,187.42	$2,187.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,288.42 / $2,288.42 / $3,317.93	Professional		$2,288.42	$2,288.42	$3,317.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $322.19 / $462.31	Facility		$111.68	$322.19	$462.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $361.84 / $462.31	Professional		$112.93	$361.84	$462.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $173.10 / $173.10	Professional		$173.10	$173.10	$173.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $308.91 / $462.31	Facility		$111.68	$308.91	$462.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $273.20	Professional		$170.08	$170.08	$273.20
United Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $213.25 / $260.63	Professional		$144.15	$213.25	$260.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $210.73 / $462.31	Professional		$209.81	$210.73	$462.31