Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,995.26 / $5,623.41	Facility		$426.58	$1,995.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $309.03 / $707.95	Professional		$67.61	$309.03	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $338.84	Professional		$66.07	$141.25	$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 $61.66 / $257.04 / $457.09	Professional		$61.66	$257.04	$457.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $741.31 / $912.01	Facility		$75.86	$741.31	$912.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $79.43	Facility		$64.57	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $371.54 / $870.96	Professional		$87.10	$371.54	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,122.02	Facility		$54.95	$56.23	$1,122.02
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 $87.10 / $977.24 / $4,365.16	Facility		$87.10	$977.24	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $316.23 / $676.08	Professional		$67.61	$316.23	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $331.13 / $741.31	Professional		$69.18	$331.13	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $302.00 / $776.25	Facility		$67.61	$302.00	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $354.81 / $870.96	Professional		$87.10	$354.81	$870.96
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 $72.44 / $263.03 / $794.33	Professional		$72.44	$263.03	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81