Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $7,413.10	Facility		$537.03	$2,454.71	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $371.54	Professional		$117.49	$177.83	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $213.80	Professional		$93.33	$177.83	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $691.83	Facility		$77.62	$151.36	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $239.88	Professional		$123.03	$173.78	$239.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,023.29 / $1,023.29	Facility		$117.49	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $309.03	Professional		$134.90	$194.98	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $13,489.63 / $13,489.63	Facility		$3,890.45	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,621.81	Professional		$1,380.38	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $3,467.37	Facility		$128.82	$223.87	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $338.84	Professional		$125.89	$190.55	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $263.03 / $524.81	Professional		$3.02	$263.03	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $316.23	Facility		$123.03	$181.97	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $316.23	Professional		$134.90	$194.98	$316.23
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 $104.71 / $147.91 / $239.88	Professional		$104.71	$147.91	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $186.21	Professional		$177.83	$186.21	$186.21