Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $6,918.31	Facility		$575.44	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $309.03 / $645.65	Professional		$72.44	$309.03	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $338.84	Professional		$63.10	$75.86	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,890.45	Facility		$1,023.29	$1,445.44	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $263.03 / $537.03	Professional		$74.13	$263.03	$537.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $2,511.89 / $5,011.87	Facility		$81.28	$2,511.89	$5,011.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $239.88 / $239.88	Facility		$69.18	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $380.19 / $891.25	Professional		$93.33	$380.19	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,148.15	Facility		$54.95	$56.23	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,090.30	Professional		$2,630.27	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,000.00 / $4,677.35	Facility		$97.72	$1,000.00	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $316.23 / $676.08	Professional		$72.44	$316.23	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $331.13 / $758.58	Professional		$74.13	$331.13	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $302.00 / $794.33	Facility		$72.44	$302.00	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $363.08 / $891.25	Professional		$93.33	$363.08	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $812.83	Professional		$79.43	$263.03	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $363.08	Professional		$346.74	$363.08	$363.08