Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,412.54 / $6,918.31	Facility		$251.19	$1,412.54	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.78 / $1,288.25 / $4,466.84	Facility	50	$489.78	$1,288.25	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $147.91	Professional		$36.31	$63.10	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $147.91 / $354.81	Professional	50	$75.86	$147.91	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $75.86	Professional		$28.84	$54.95	$75.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $83.18 / $117.49	Professional	50	$72.44	$83.18	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $158.49	Facility		$24.55	$40.74	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $69.18	Professional		$32.36	$45.71	$69.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $338.84 / $1,230.27	Facility		$45.71	$338.84	$1,230.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $83.18	Professional		$25.70	$46.77	$83.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $251.19 / $251.19	Facility		$31.62	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $107.15	Professional		$40.74	$63.10	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $15,135.61 / $15,135.61	Facility		$2,187.76	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $398.11 / $457.09	Professional		$70.79	$398.11	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $70.79 / $1,995.26	Facility		$37.15	$70.79	$1,995.26
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $426.58 / $588.84 / $4,466.84	Facility	50	$426.58	$588.84	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $107.15	Professional		$35.48	$56.23	$107.15
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $151.36 / $354.81	Professional	50	$77.62	$151.36	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $46.77	Professional		$29.51	$33.11	$46.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $213.80	Professional		$97.72	$120.23	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $61.66 / $102.33	Facility		$37.15	$61.66	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $104.71	Professional		$39.81	$63.10	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $77.62	Professional		$33.11	$48.98	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $57.54	Professional		$54.95	$57.54	$57.54