Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,454.71 / $5,888.44	Facility		$489.78	$2,454.71	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $269.15 / $630.96	Professional		$74.13	$269.15	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $316.23	Professional		$64.57	$87.10	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,000.00 / $2,089.30	Facility		$524.81	$1,000.00	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $251.19 / $512.86	Professional		$75.86	$251.19	$512.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $2,570.40	Facility		$707.95	$954.99	$2,570.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $83.18 / $83.18	Facility		$70.79	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $338.84 / $776.25	Professional		$95.50	$338.84	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,096.48	Facility		$54.95	$56.23	$1,096.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $2,951.21	Professional		$2,570.40	$2,951.21	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,174.90 / $4,786.30	Facility		$107.15	$1,174.90	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $302.00 / $660.69	Professional		$75.86	$302.00	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $691.83 / $1,047.13	Professional		$3.02	$691.83	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $295.12 / $691.83	Facility		$74.13	$295.12	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $323.59 / $776.25	Professional		$95.50	$323.59	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $257.04 / $724.44	Professional		$81.28	$257.04	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $354.81	Professional		$331.13	$354.81	$354.81