Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,630.78 / $12,022.64	Facility		$389.05	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $562.34	Professional		$257.04	$316.23	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
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 $275.42 / $346.74 / $467.74	Professional		$275.42	$346.74	$467.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $575.44	Professional		$316.23	$426.58	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $295.12	Facility		$288.40	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $616.60	Professional		$288.40	$389.05	$616.60
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 $1,258.93 / $1,258.93 / $1,258.93	Facility	54	$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $2,754.23	Professional		$2,344.23	$2,754.23	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $389.05 / $870.96	Facility		$281.84	$389.05	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $630.96	Professional		$263.03	$398.11	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $239.88 / $288.40	Professional		$32.36	$239.88	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,071.52 / $1,288.25	Professional		$323.59	$1,071.52	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $630.96	Facility		$281.84	$371.54	$630.96
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	54	$346.74	$346.74	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $616.60	Professional		$281.84	$389.05	$616.60
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 $234.42 / $302.00 / $467.74	Professional		$234.42	$302.00	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $354.81	Professional		$338.84	$354.81	$354.81