Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,089.30 / $6,918.31	Facility		$446.68	$2,089.30	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $416.87	Professional		$100.00	$158.49	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $229.09	Professional		$138.04	$169.82	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $114.82 / $524.81	Facility		$67.61	$114.82	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $218.78	Professional		$100.00	$147.91	$218.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $323.59 / $478.63	Facility		$144.54	$323.59	$478.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $257.04	Professional		$77.62	$154.88	$257.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $302.00	Professional		$117.49	$177.83	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,621.81	Facility		$54.95	$56.23	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,380.38	Professional		$1,148.15	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $2,951.21	Facility		$117.49	$208.93	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $323.59	Professional		$107.15	$165.96	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $426.58	Professional		$263.03	$309.03	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $295.12	Facility		$107.15	$169.82	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $295.12	Professional		$117.49	$181.97	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $229.09	Professional		$100.00	$144.54	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $165.96	Professional		$154.88	$165.96	$165.96