Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,238.72 / $6,918.31	Facility		$512.86	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $331.13	Professional		$112.20	$162.18	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $251.19	Professional		$75.86	$131.83	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $691.83	Facility		$97.72	$154.88	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $199.53	Professional		$109.65	$144.54	$199.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $213.80	Professional		$177.83	$177.83	$213.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $154.88	Facility		$104.71	$131.83	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $199.53	Facility		$120.23	$131.83	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $338.84	Professional		$120.23	$181.97	$338.84
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 $1,148.15 / $1,318.26 / $1,318.26	Professional		$1,148.15	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $446.68	Facility		$114.82	$177.83	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $295.12	Professional		$112.20	$158.49	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $416.87	Professional		$186.21	$309.03	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $302.00	Facility		$112.20	$173.78	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $354.81	Professional		$120.23	$186.21	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,659.59 / $4,073.80	Facility		$416.87	$1,659.59	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $234.42	Professional		$100.00	$147.91	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $173.78	Professional		$91.20	$154.88	$173.78