Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,089.30 / $6,760.83	Facility		$457.09	$2,089.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $346.74	Professional		$79.43	$169.82	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $128.82	Professional		$64.57	$70.79	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $4,265.80	Facility		$1,023.29	$1,862.09	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $251.19	Professional		$75.86	$128.82	$251.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $223.87	Professional		$79.43	$117.49	$223.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $138.04	Facility		$70.79	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $363.08	Professional		$91.20	$186.21	$363.08
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 Facility Modifier 53 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	53	$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Professional		$1,548.82	$1,548.82	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $776.25	Facility		$83.18	$204.17	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $398.11	Professional		$79.43	$177.83	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $380.19 / $524.81	Professional		$30.20	$380.19	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $186.21 / $389.05	Facility		$81.28	$186.21	$389.05
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $371.54	Professional		$95.50	$186.21	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $316.23	Professional		$81.28	$165.96	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $213.80	Professional		$173.78	$181.97	$213.80