Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,819.70 / $6,165.95	Facility		$323.59	$1,819.70	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $302.00	Professional		$61.66	$114.82	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $138.04	Professional		$60.26	$102.33	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $79.43 / $354.81	Facility		$45.71	$79.43	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $138.04	Professional		$53.70	$89.13	$138.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $323.59 / $2,187.76	Facility		$102.33	$323.59	$2,187.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $138.04 / $194.98	Professional		$46.77	$138.04	$194.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $204.17	Professional		$70.79	$117.49	$204.17
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 $851.14 / $912.01 / $912.01	Professional		$851.14	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $147.91 / $3,715.35	Facility		$67.61	$147.91	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $218.78	Professional		$64.57	$109.65	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $190.55 / $288.40	Professional		$3.02	$190.55	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $109.65 / $199.53	Facility		$60.26	$109.65	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $204.17	Professional		$72.44	$117.49	$204.17
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 $60.26 / $93.33 / $151.36	Professional		$60.26	$93.33	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $114.82	Professional		$107.15	$114.82	$114.82