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 / $7,413.10	Facility		$537.03	$2,290.87	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $380.19	Professional		$109.65	$194.98	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $323.59	Professional		$107.15	$194.98	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $912.01	Facility		$120.23	$199.53	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $269.15	Professional		$104.71	$181.97	$269.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $398.11	Professional		$208.93	$269.15	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $954.99 / $954.99	Facility		$107.15	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $239.88	Facility		$173.78	$190.55	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $389.05	Professional		$120.23	$213.80	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,778.28	Professional		$1,513.56	$1,778.28	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $537.03	Facility		$112.20	$213.80	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $389.05	Professional		$109.65	$199.53	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $575.44	Professional		$223.87	$389.05	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $354.81	Facility		$112.20	$199.53	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $416.87	Professional		$120.23	$218.78	$416.87
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 / $162.18 / $269.15	Professional		$97.72	$162.18	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $223.87 / $251.19	Professional		$87.10	$223.87	$251.19