Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,754.23 / $6,918.31	Facility		$707.95	$2,754.23	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $323.59	Professional		$70.79	$165.96	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $204.17	Professional		$63.10	$70.79	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $2,630.27	Facility		$676.08	$1,258.93	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $257.04	Professional		$61.66	$158.49	$257.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $977.24 / $1,621.81	Facility		$812.83	$977.24	$1,621.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $275.42	Professional		$75.86	$109.65	$275.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $223.87 / $229.09	Facility		$70.79	$223.87	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $660.69 / $851.14	Facility		$123.03	$660.69	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $363.08	Professional		$79.43	$199.53	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,884.03	Facility		$54.95	$56.23	$2,884.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Professional		$1,479.11	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $218.78 / $1,047.13	Facility		$74.13	$218.78	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $389.05	Professional		$70.79	$173.78	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $354.81 / $512.86	Professional		$77.62	$354.81	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $194.98 / $389.05	Facility		$74.13	$194.98	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $380.19	Professional		$79.43	$194.98	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $275.42	Professional		$67.61	$147.91	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $234.42 / $269.15	Professional		$56.23	$234.42	$269.15