Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,162.28 / $11,481.54	Facility		$660.69	$3,162.28	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $7,079.46 / $11,220.18	Facility	50	$2,290.87	$7,079.46	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $912.01	Professional		$288.40	$478.63	$912.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $575.44 / $2,137.96	Professional	50	$575.44	$575.44	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $436.52	Professional		$144.54	$302.00	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $1,698.24	Facility		$245.47	$398.11	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $616.60	Professional		$239.88	$371.54	$616.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $707.95	Professional		$436.52	$602.56	$707.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,041.74 / $2,041.74	Facility		$239.88	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,122.02	Professional		$316.23	$537.03	$1,122.02
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 Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $891.25 / $5,248.07	Facility		$323.59	$891.25	$5,248.07
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $7,079.46 / $11,220.18	Facility	50	$3,981.07	$7,079.46	$11,220.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $851.14	Professional		$295.12	$489.78	$851.14
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $575.44 / $2,137.96	Professional	50	$245.47	$575.44	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $933.25	Professional		$275.42	$489.78	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $1,174.90	Facility		$295.12	$562.34	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $1,096.48	Professional		$302.00	$549.54	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $794.33	Professional		$295.12	$501.19	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $426.58	Professional		$398.11	$398.11	$426.58