Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,238.72 / $6,760.83	Facility		$323.59	$2,238.72	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $562.34	Professional		$114.82	$208.93	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $229.09	Professional		$117.49	$144.54	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $794.33 / $1,698.24	Facility		$446.68	$794.33	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $295.12	Professional		$125.89	$190.55	$295.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $588.84 / $912.01	Facility		$263.03	$588.84	$912.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $371.54	Professional		$109.65	$213.80	$371.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $588.84 / $588.84	Facility		$134.90	$588.84	$588.84
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 $162.18 / $251.19 / $389.05	Professional		$162.18	$251.19	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $28,840.32 / $28,840.32	Facility		$1,995.26	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $1,949.84	Professional		$1,659.59	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $295.12 / $3,715.35	Facility		$144.54	$295.12	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $446.68	Professional		$131.83	$218.78	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $5,623.41	Facility		$338.84	$338.84	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $229.09 / $380.19	Facility		$138.04	$229.09	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $389.05	Professional		$162.18	$251.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Facility		$162.18	$1,071.52	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $331.13	Professional		$138.04	$208.93	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09