Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,884.03 / $8,912.51	Facility		$114.82	$2,884.03	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $229.09	Professional		$61.66	$123.03	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $154.88	Professional		$32.36	$57.54	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $4,265.80	Facility		$1,023.29	$1,862.09	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $173.78	Professional		$58.88	$100.00	$173.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $263.03 / $323.59	Facility		$61.66	$263.03	$323.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $125.89	Professional		$61.66	$93.33	$125.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $79.43	Facility		$56.23	$61.66	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $245.47	Professional		$67.61	$123.03	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,801.89	Professional		$2,187.76	$2,187.76	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $131.83 / $331.13	Facility		$61.66	$131.83	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $251.19	Professional		$63.10	$125.89	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $281.84	Professional		$60.26	$134.90	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $125.89 / $239.88	Facility		$61.66	$125.89	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $245.47	Professional		$69.18	$125.89	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $177.83	Professional		$60.26	$104.71	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $154.88	Professional		$123.03	$128.82	$154.88