Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $7,585.78	Facility		$575.44	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $144.54	Professional		$47.86	$64.57	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $46.77	Professional		$43.65	$46.77	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $977.24 / $1,995.26	Facility		$549.54	$977.24	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $87.10	Professional		$51.29	$64.57	$87.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $831.76 / $831.76	Facility		$50.12	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $147.91	Professional		$58.88	$87.10	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $19,498.45 / $19,498.45	Facility		$2,089.30	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,862.09	Professional		$1,096.48	$1,096.48	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $141.25 / $3,981.07	Facility		$56.23	$141.25	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $154.88	Professional		$51.29	$74.13	$154.88
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 $5.01 / $173.78 / $295.12	Professional		$5.01	$173.78	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $165.96	Facility		$52.48	$89.13	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $144.54	Professional		$58.88	$87.10	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $117.49	Professional		$48.98	$72.44	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $53.70	Professional		$50.12	$53.70	$53.70