Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,238.72 / $6,918.31	Facility		$426.58	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $575.44	Professional		$263.03	$316.23	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $338.84	Professional		$194.98	$218.78	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $741.31	Facility		$100.00	$165.96	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $478.63	Professional		$275.42	$346.74	$478.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $138.04	Facility		$102.33	$120.23	$138.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $602.56	Professional		$281.84	$436.52	$602.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $281.84	Facility		$97.72	$97.72	$281.84
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 $2,290.87 / $2,754.23 / $2,754.23	Professional		$2,290.87	$2,754.23	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $1,995.26	Facility		$281.84	$398.11	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $616.60	Professional		$263.03	$389.05	$616.60
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 $338.84 / $1,071.52 / $1,258.93	Professional		$338.84	$1,071.52	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $630.96	Facility		$275.42	$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 / $630.96	Professional		$281.84	$389.05	$630.96
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 / $309.03 / $478.63	Professional		$234.42	$309.03	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $354.81	Professional		$331.13	$354.81	$354.81