Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,187.76 / $6,918.31	Facility		$512.86	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $338.84	Professional		$81.28	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $169.82	Professional		$57.54	$87.10	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $4,168.69	Facility		$1,096.48	$2,187.76	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $218.78	Professional		$74.13	$138.04	$218.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,122.02 / $1,949.84	Facility		$316.23	$1,122.02	$1,949.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $177.83	Professional		$45.71	$89.13	$177.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,122.02 / $1,122.02	Facility		$72.44	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $933.25 / $1,202.26	Facility		$141.25	$933.25	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $331.13	Professional		$91.20	$173.78	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $19,498.45 / $19,498.45	Facility		$3,981.07	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,290.87	Professional		$1,445.44	$1,445.44	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $186.21 / $630.96	Facility		$83.18	$186.21	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $309.03	Professional		$81.28	$162.18	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $281.84 / $398.11	Professional		$75.86	$281.84	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $331.13	Facility		$85.11	$177.83	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $354.81	Professional		$89.13	$177.83	$354.81
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 $77.62 / $141.25 / $245.47	Professional		$77.62	$141.25	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $162.18 / $186.21	Professional		$61.66	$162.18	$186.21