Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,089.30 / $10,232.93	Facility		$177.83	$2,089.30	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $186.21	Professional		$42.66	$56.23	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $64.57	Professional		$22.39	$40.74	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,365.16 / $14,125.38	Facility		$1,023.29	$4,365.16	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $66.07	Professional		$31.62	$40.74	$66.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $173.78	Professional		$40.74	$63.10	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $42.66 / $42.66	Facility		$40.74	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $104.71	Professional		$45.71	$63.10	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	53	$54.95	$54.95	$54.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $537.03 / $537.03	Professional		$58.88	$537.03	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $575.44 / $5,248.07	Facility		$50.12	$575.44	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $125.89	Professional		$43.65	$58.88	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.88	Professional		$32.36	$33.11	$33.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $11,220.18 / $12,882.50	Facility		$6,165.95	$11,220.18	$12,882.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $154.88	Professional		$147.91	$147.91	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $66.07 / $112.20	Facility		$44.67	$66.07	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $95.50	Professional		$45.71	$63.10	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $6,025.60	Facility		$154.88	$1,047.13	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $81.28	Professional		$38.90	$52.48	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Professional		$39.81	$39.81	$41.69