Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,905.46 / $6,918.31	Facility		$263.03	$1,905.46	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $95.50 / $275.42	Professional		$36.31	$95.50	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $114.82	Professional		$70.79	$91.20	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $467.74	Facility		$72.44	$114.82	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $72.44 / $123.03	Professional		$30.20	$72.44	$123.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $125.89 / $199.53	Facility		$30.20	$125.89	$199.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $151.36	Professional		$35.48	$74.13	$151.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $85.11 / $91.20	Facility		$29.51	$85.11	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $158.49	Professional		$39.81	$93.33	$158.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $407.38	Facility		$54.95	$56.23	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $707.95 / $831.76	Professional		$120.23	$707.95	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $123.03 / $3,715.35	Facility		$33.88	$123.03	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $91.20 / $190.55	Professional		$33.88	$91.20	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $81.28	Professional		$31.62	$33.11	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.13 / $141.25	Professional		$37.15	$89.13	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $75.86 / $128.82	Facility		$30.90	$75.86	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $93.33 / $158.49	Professional		$40.74	$93.33	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $74.13 / $138.04	Professional		$34.67	$74.13	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20