Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,041.74 / $6,918.31	Facility		$389.05	$2,041.74	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $162.18 / $309.03	Professional		$67.61	$162.18	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $269.15	Professional		$64.57	$100.00	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $245.47	Professional		$66.07	$134.90	$245.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $100.00	Facility		$60.26	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $346.74	Professional		$81.28	$181.97	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,630.27	Professional		$1,621.81	$1,621.81	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $190.55 / $707.95	Facility		$70.79	$190.55	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $173.78 / $371.54	Professional		$69.18	$173.78	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $165.96	Professional		$32.36	$57.54	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $194.98 / $407.38	Professional		$66.07	$194.98	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $177.83 / $371.54	Facility		$69.18	$177.83	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $354.81	Professional		$83.18	$181.97	$354.81
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 $69.18 / $144.54 / $269.15	Professional		$69.18	$144.54	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $223.87	Professional		$181.97	$190.55	$223.87