Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.76 / $253.76 / $274.06	Facility		$253.76	$253.76	$274.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $274.06 / $507.52	Professional		$206.88	$274.06	$507.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.33 / $411.52 / $434.70	Professional		$345.33	$411.52	$434.70
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 $275.83 / $275.83 / $345.11	Professional		$275.83	$275.83	$345.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $434.70 / $579.60	Professional		$405.72	$434.70	$579.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $391.17 / $391.17 / $579.60	Facility		$391.17	$391.17	$579.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $281.20	Facility		$281.20	$281.20	$281.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $281.20	Professional		$205.28	$205.28	$281.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,291.37 / $2,318.40 / $2,318.40	Facility		$2,291.37	$2,318.40	$2,318.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,886.41 / $2,886.41 / $3,566.63	Professional		$2,886.41	$2,886.41	$3,566.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $403.92 / $579.60	Facility		$140.00	$403.92	$579.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.59 / $453.63 / $579.60	Professional		$141.59	$453.63	$579.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $186.10 / $186.10	Professional		$186.10	$186.10	$186.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $387.27 / $579.60	Facility		$140.00	$387.27	$579.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $322.39	Professional		$205.28	$205.28	$322.39
United Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $267.35 / $331.86	Professional		$180.72	$267.35	$331.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.04 / $264.67 / $579.60	Professional		$263.04	$264.67	$579.60