Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,290.87 / $6,918.31	Facility		$524.81	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $269.15	Professional		$107.15	$151.36	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $173.78	Professional		$141.25	$144.54	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $660.69	Facility		$91.20	$147.91	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $199.53	Professional		$100.00	$134.90	$199.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $144.54	Facility		$43.65	$43.65	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $125.89 / $186.21	Facility		$112.20	$125.89	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $323.59	Professional		$114.82	$169.82	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,230.27	Professional		$1,047.13	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $416.87	Facility		$112.20	$169.82	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $269.15	Professional		$107.15	$147.91	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $389.05	Professional		$162.18	$302.00	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $281.84	Facility		$112.20	$165.96	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $338.84	Professional		$112.20	$177.83	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $218.78	Professional		$97.72	$141.25	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $162.18	Professional		$85.11	$123.03	$162.18