Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,238.72 / $6,918.31	Facility		$446.68	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $426.58	Professional		$141.25	$218.78	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $363.08	Professional		$151.36	$239.88	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $1,412.54	Facility		$144.54	$245.47	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $331.13	Professional		$144.54	$213.80	$331.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $302.00	Facility		$169.82	$245.47	$302.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $467.74	Professional		$141.25	$331.13	$467.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $302.00	Facility		$158.49	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $380.19	Professional		$158.49	$234.42	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,238.72	Professional		$1,862.09	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $275.42 / $2,951.21	Facility		$151.36	$275.42	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $467.74	Professional		$144.54	$245.47	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $691.83	Professional		$190.55	$407.38	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $389.05	Facility		$141.25	$213.80	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $416.87	Professional		$158.49	$234.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,344.23 / $10,232.93	Facility		$346.74	$2,344.23	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $295.12	Professional		$123.03	$181.97	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $275.42	Professional		$251.19	$275.42	$275.42