Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,238.72 / $6,918.31	Facility		$537.03	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $331.13	Professional		$87.10	$165.96	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $154.88 / $181.97	Professional		$42.66	$154.88	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $812.83	Facility		$123.03	$194.98	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $234.42	Professional		$83.18	$147.91	$234.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $575.44 / $758.58	Facility		$199.53	$575.44	$758.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $79.43	Facility		$35.48	$35.48	$79.43
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 $97.72 / $181.97 / $331.13	Professional		$97.72	$181.97	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,412.54	Professional		$1,202.26	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $208.93 / $2,951.21	Facility		$93.33	$208.93	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $331.13	Professional		$89.13	$169.82	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $407.38 / $489.78	Professional		$5.01	$407.38	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $169.82 / $316.23	Facility		$89.13	$169.82	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $331.13	Professional		$97.72	$181.97	$331.13
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 $89.13 / $151.36 / $257.04	Professional		$89.13	$151.36	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $169.82	Professional		$162.18	$169.82	$169.82