Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,290.87 / $6,918.31	Facility		$537.03	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $281.84 / $776.25	Professional		$114.82	$281.84	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $165.96	Professional		$102.33	$109.65	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,621.81 / $3,311.31	Facility		$891.25	$1,621.81	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $363.08 / $588.84	Professional		$107.15	$363.08	$588.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,288.25 / $2,884.03	Facility		$446.68	$1,288.25	$2,884.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $229.09	Professional		$114.82	$165.96	$229.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $524.81	Facility		$104.71	$104.71	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $831.76 / $1,071.52	Facility		$199.53	$831.76	$1,071.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $831.76	Professional		$131.83	$269.15	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $19,498.45 / $19,498.45	Facility		$3,630.78	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $3,981.07	Professional		$3,388.44	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $1,202.26	Facility		$117.49	$323.59	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $323.59 / $870.96	Professional		$114.82	$323.59	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $1,412.54	Professional		$204.17	$354.81	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $263.03 / $831.76	Facility		$117.49	$263.03	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $933.25	Professional		$128.82	$281.84	$933.25
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 $109.65 / $208.93 / $707.95	Professional		$109.65	$208.93	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $512.86 / $588.84	Professional		$89.13	$512.86	$588.84