Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,715.35 / $12,302.69	Facility		$794.33	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $162.18	Professional		$56.23	$97.72	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $151.36	Professional		$125.89	$125.89	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $524.81	Facility		$74.13	$123.03	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $158.49	Professional		$56.23	$95.50	$158.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $204.17	Professional		$64.57	$117.49	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,905.46	Facility		$54.95	$56.23	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $933.25	Professional		$851.14	$933.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $123.03 / $2,511.89	Facility		$58.88	$123.03	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $199.53	Professional		$57.54	$102.33	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $245.47 / $302.00	Professional		$5.01	$245.47	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $112.20 / $204.17	Facility		$57.54	$112.20	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $204.17	Professional		$64.57	$117.49	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $169.82	Professional		$52.48	$95.50	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $112.20	Professional		$107.15	$112.20	$112.20