Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,187.76 / $6,918.31	Facility		$524.81	$2,187.76	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $933.25 / $3,801.89	Facility	50	$851.14	$933.25	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $169.82 / $457.09	Professional		$63.10	$169.82	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $123.03	Professional		$39.81	$58.88	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $933.25 / $1,995.26	Facility		$562.34	$933.25	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $389.05	Professional		$60.26	$169.82	$389.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $660.69 / $660.69	Facility		$57.54	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $177.83 / $467.74	Professional		$72.44	$177.83	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,023.29	Facility		$54.95	$56.23	$1,023.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,630.27	Professional		$2,238.72	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $302.00 / $1,862.09	Facility		$64.57	$302.00	$1,862.09
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $933.25 / $3,801.89	Facility	50	$851.14	$933.25	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $177.83 / $549.54	Professional		$64.57	$177.83	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $53.70	Professional		$32.36	$33.11	$53.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $512.86 / $912.01	Professional		$5.01	$512.86	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $173.78 / $501.19	Facility		$63.10	$173.78	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $524.81	Professional		$74.13	$169.82	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $323.59	Professional		$63.10	$147.91	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $363.08	Professional		$295.12	$309.03	$363.08