Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $6,918.31	Facility		$501.19	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $676.08	Professional		$288.40	$354.81	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $512.86	Professional		$309.03	$398.11	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $169.82 / $741.31	Facility		$100.00	$169.82	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $524.81	Professional		$309.03	$380.19	$524.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $269.15 / $346.74	Facility		$234.42	$269.15	$346.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $562.34	Professional		$177.83	$354.81	$562.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $323.59	Facility		$204.17	$204.17	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $676.08	Professional		$316.23	$426.58	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,041.74	Facility		$54.95	$56.23	$2,041.74
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	54	$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,019.95	Professional		$2,511.89	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $436.52 / $1,995.26	Facility		$316.23	$436.52	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $691.83	Professional		$288.40	$426.58	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $263.03 / $316.23	Professional		$32.36	$263.03	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,202.26 / $1,380.38	Professional		$389.05	$1,202.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $691.83	Facility		$302.00	$407.38	$691.83
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	54	$380.19	$380.19	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $676.08	Professional		$309.03	$426.58	$676.08
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 $251.19 / $331.13 / $512.86	Professional		$251.19	$331.13	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $389.05	Professional		$363.08	$389.05	$389.05