Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $295.12	Professional		$102.33	$162.18	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $758.58	Facility		$104.71	$169.82	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $239.88	Professional		$109.65	$165.96	$239.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $288.40	Professional		$128.82	$204.17	$288.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $169.82	Facility		$97.72	$151.36	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $288.40	Professional		$125.89	$186.21	$288.40
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 $1,318.26 / $1,513.56 / $1,513.56	Professional		$1,318.26	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $2,951.21	Facility		$107.15	$190.55	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $323.59	Professional		$104.71	$165.96	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $363.08	Professional		$104.71	$194.98	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $257.04	Facility		$102.33	$165.96	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $302.00	Professional		$125.89	$194.98	$302.00
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 $104.71 / $154.88 / $229.09	Professional		$104.71	$154.88	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82