Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,995.26 / $6,918.31	Facility		$208.93	$1,995.26	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $354.81	Professional		$64.57	$128.82	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $316.23	Professional		$64.57	$70.79	$316.23
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 $67.61 / $123.03 / $208.93	Professional		$67.61	$123.03	$208.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $251.19 / $446.68	Facility		$72.44	$251.19	$446.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Professional		$70.79	$70.79	$141.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $75.86 / $165.96	Facility		$70.79	$75.86	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $257.04	Professional		$85.11	$151.36	$257.04
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 $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $190.55 / $2,884.03	Facility		$72.44	$190.55	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $309.03	Professional		$70.79	$128.82	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $363.08	Professional		$81.28	$173.78	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $147.91 / $269.15	Facility		$70.79	$147.91	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $257.04	Professional		$85.11	$151.36	$257.04
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 $67.61 / $123.03 / $218.78	Professional		$67.61	$123.03	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96