Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,398.83 / $6,918.31	Facility		$478.63	$2,398.83	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $724.44	Professional		$288.40	$363.08	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $446.68	Professional		$181.97	$338.84	$446.68
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 $295.12 / $371.54 / $524.81	Professional		$295.12	$371.54	$524.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $549.54	Facility		$204.17	$288.40	$549.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $676.08	Professional		$309.03	$478.63	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $309.03	Facility		$245.47	$245.47	$309.03
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 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	54	$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,019.95	Professional		$2,570.40	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $2,511.89	Facility		$316.23	$446.68	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $724.44	Professional		$288.40	$436.52	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $257.04 / $309.03	Professional		$32.36	$257.04	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $691.83	Facility		$302.00	$416.87	$691.83
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	54	$371.54	$371.54	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $691.83	Professional		$309.03	$426.58	$691.83
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 $257.04 / $338.84 / $524.81	Professional		$257.04	$338.84	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $407.38	Professional		$380.19	$407.38	$407.38