Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,187.76 / $6,918.31	Facility		$467.74	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $501.19	Professional		$234.42	$288.40	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $457.09	Professional		$302.00	$338.84	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $169.82 / $741.31	Facility		$97.72	$169.82	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $426.58	Professional		$251.19	$316.23	$426.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $354.81	Facility		$223.87	$263.03	$354.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $537.03	Professional		$302.00	$389.05	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $263.03	Facility		$239.88	$239.88	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $549.54	Professional		$257.04	$346.74	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,819.70	Facility		$54.95	$56.23	$1,819.70
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	54	$1,148.15	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,570.40	Professional		$2,137.96	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $1,995.26	Facility		$257.04	$363.08	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $588.84	Professional		$239.88	$363.08	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $218.78 / $263.03	Professional		$32.36	$218.78	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,000.00 / $1,202.26	Professional		$309.03	$1,000.00	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $338.84 / $575.44	Facility		$251.19	$338.84	$575.44
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $562.34	Professional		$257.04	$346.74	$562.34
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 $208.93 / $275.42 / $416.87	Professional		$208.93	$275.42	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $331.13	Professional		$316.23	$331.13	$331.13