Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,479.11 / $5,495.41	Facility		$354.81	$1,479.11	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	50	$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $302.00	Professional		$50.12	$100.00	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $128.82	Professional		$48.98	$66.07	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $512.86 / $1,071.52	Facility		$288.40	$512.86	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $162.18	Professional		$48.98	$104.71	$162.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $1,380.38	Facility		$263.03	$512.86	$1,380.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $204.17	Professional		$66.07	$120.23	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $338.84 / $338.84	Facility		$54.95	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $75.86	Facility		$69.18	$69.18	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $190.55	Professional		$60.26	$104.71	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $28,840.32 / $28,840.32	Facility		$2,454.71	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $933.25 / $1,096.48	Professional		$83.18	$933.25	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $169.82 / $3,715.35	Facility		$57.54	$169.82	$3,715.35
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	50	$2,290.87	$2,290.87	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $245.47	Professional		$52.48	$107.15	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $173.78	Facility		$53.70	$97.72	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $199.53	Professional		$61.66	$109.65	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $151.36	Professional		$51.29	$89.13	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89