Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,187.76 / $6,918.31	Facility		$457.09	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $407.38	Professional		$85.11	$213.80	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $478.63	Professional		$38.90	$74.13	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,691.53	Facility		$724.44	$1,288.25	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $323.59	Professional		$79.43	$199.53	$323.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $870.96 / $1,258.93	Facility		$281.84	$870.96	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $562.34 / $562.34	Facility		$79.43	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $676.08 / $1,023.29	Facility		$147.91	$676.08	$1,023.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $446.68	Professional		$100.00	$229.09	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $19,498.45 / $19,498.45	Facility		$2,884.03	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	52	$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	53	$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $263.03 / $660.69	Facility		$91.20	$263.03	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $478.63	Professional		$85.11	$213.80	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $724.44	Professional		$316.23	$489.78	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $245.47 / $467.74	Facility		$91.20	$245.47	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $223.87 / $478.63	Professional		$97.72	$223.87	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $4,786.30	Facility		$676.08	$2,454.71	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $331.13	Professional		$83.18	$181.97	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $275.42 / $309.03	Professional		$67.61	$275.42	$309.03