Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,905.46 / $5,888.44	Facility		$537.03	$1,905.46	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $794.33	Professional		$158.49	$346.74	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $446.68	Professional		$117.49	$173.78	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,630.27	Facility		$724.44	$1,288.25	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $512.86	Professional		$151.36	$316.23	$512.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $660.69 / $1,380.38	Facility		$147.91	$660.69	$1,380.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $380.19	Professional		$158.49	$223.87	$380.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $436.52 / $436.52	Facility		$147.91	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $691.83 / $1,412.54	Facility		$281.84	$691.83	$1,412.54
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $660.69	Professional		$177.83	$331.13	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $28,840.32 / $28,840.32	Facility		$2,884.03	$28,840.32	$28,840.32
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 Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,388.44	Professional		$2,884.03	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $407.38 / $1,258.93	Facility		$165.96	$407.38	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $794.33	Professional		$162.18	$363.08	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $537.03 / $1,148.15	Professional		$245.47	$537.03	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $691.83	Facility		$165.96	$331.13	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $724.44	Professional		$177.83	$346.74	$724.44
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 $154.88 / $269.15 / $512.86	Professional		$154.88	$269.15	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $436.52 / $501.19	Professional		$125.89	$436.52	$501.19