Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,949.84 / $6,456.54	Facility		$562.34	$1,949.84	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $537.03	Professional		$93.33	$223.87	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $281.84	Professional		$87.10	$151.36	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $2,089.30	Facility		$588.84	$1,000.00	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $316.23	Professional		$81.28	$186.21	$316.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $1,584.89	Facility		$588.84	$831.76	$1,584.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $436.52	Professional		$112.20	$234.42	$436.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $457.09 / $457.09	Facility		$87.10	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $436.52	Professional		$109.65	$218.78	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,089.30	Facility		$54.95	$56.23	$2,089.30
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	53	$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,137.96	Professional		$1,819.70	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $977.24 / $4,570.88	Facility		$123.03	$977.24	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $229.09 / $501.19	Professional		$93.33	$229.09	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,388.44	Facility		$2,137.96	$2,511.89	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $501.19	Professional		$281.84	$281.84	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $234.42 / $457.09	Facility		$93.33	$234.42	$457.09
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	53	$33.88	$33.88	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $446.68	Professional		$107.15	$213.80	$446.68
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 $87.10 / $194.98 / $363.08	Professional		$87.10	$194.98	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $275.42	Professional		$263.03	$275.42	$275.42