Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $724.44 / $5,888.44	Facility		$104.71	$724.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $331.13	Professional		$52.48	$112.20	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $177.83	Professional		$42.66	$54.95	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $630.96	Facility		$151.36	$288.40	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $147.91	Professional		$46.77	$91.20	$147.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $616.60	Facility		$56.23	$56.23	$616.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $194.98	Professional		$74.13	$112.20	$194.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $141.25	Facility		$54.95	$56.23	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $125.89 / $213.80	Professional		$66.07	$125.89	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,047.13	Professional		$1,000.00	$1,000.00	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $154.88 / $1,995.26	Facility		$54.95	$154.88	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $269.15	Professional		$53.70	$109.65	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $302.00	Professional		$63.10	$141.25	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $120.23 / $223.87	Facility		$54.95	$120.23	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $213.80	Professional		$66.07	$123.03	$213.80
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 $52.48 / $100.00 / $181.97	Professional		$52.48	$100.00	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04