Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,290.87 / $6,918.31	Facility		$457.09	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $204.17	Professional		$52.48	$85.11	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $229.09 / $354.81	Professional	50	$60.26	$229.09	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $93.33	Professional		$36.31	$51.29	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $338.84	Facility		$43.65	$77.62	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $125.89	Professional		$50.12	$77.62	$125.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $758.58 / $977.24	Facility		$69.18	$758.58	$977.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $144.54	Professional		$58.88	$91.20	$144.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $426.58 / $426.58	Facility		$47.86	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $223.87	Professional		$64.57	$112.20	$223.87
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 $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $120.23 / $2,089.30	Facility		$54.95	$120.23	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $165.96	Professional		$53.70	$85.11	$165.96
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $229.09 / $229.09	Professional	50	$60.26	$229.09	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $331.13	Professional		$165.96	$177.83	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $107.15 / $213.80	Facility		$54.95	$107.15	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $218.78	Professional		$61.66	$109.65	$218.78
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 $54.95 / $87.10 / $173.78	Professional		$54.95	$87.10	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $91.20	Professional		$87.10	$91.20	$91.20