Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $7,413.10	Facility		$524.81	$2,454.71	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $457.09 / $2,951.21	Facility	50	$457.09	$457.09	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $275.42	Professional		$104.71	$169.82	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $407.38	Professional	50	$263.03	$263.03	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $691.83	Facility		$95.50	$162.18	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $234.42	Professional		$102.33	$169.82	$234.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $251.19	Professional		$208.93	$208.93	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $346.74	Professional		$117.49	$194.98	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,548.82	Facility		$54.95	$56.23	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,548.82	Professional		$1,318.26	$1,548.82	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $229.09 / $2,951.21	Facility		$112.20	$229.09	$2,951.21
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $457.09 / $2,951.21	Facility	50	$457.09	$457.09	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $338.84	Professional		$109.65	$181.97	$338.84
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $407.38	Professional	50	$263.03	$263.03	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $93.33	Professional		$32.36	$33.11	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $389.05 / $501.19	Professional		$5.01	$389.05	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $186.21 / $338.84	Facility		$104.71	$186.21	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $338.84	Professional		$117.49	$199.53	$338.84
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 $93.33 / $158.49 / $275.42	Professional		$93.33	$158.49	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $190.55	Professional		$177.83	$190.55	$190.55