Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $2,818.38 / $2,818.38	Facility	50	$1,862.09	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $229.09	Professional		$74.13	$125.89	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $346.74 / $870.96	Professional	50	$158.49	$346.74	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $123.03	Professional		$44.67	$46.77	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $891.25 / $1,737.80	Facility		$97.72	$891.25	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $177.83	Professional		$69.18	$114.82	$177.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $831.76 / $831.76	Facility		$234.42	$831.76	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Facility		$70.79	$70.79	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $269.15	Professional		$87.10	$151.36	$269.15
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 Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,096.48	Professional		$954.99	$1,096.48	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $169.82 / $2,951.21	Facility		$77.62	$169.82	$2,951.21
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $1,862.09 / $2,818.38	Facility	50	$1,862.09	$1,862.09	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $269.15	Professional		$75.86	$128.82	$269.15
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $199.53 / $870.96	Professional	50	$158.49	$199.53	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $562.34	Professional		$263.03	$275.42	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $251.19	Facility		$75.86	$141.25	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $269.15	Professional		$85.11	$151.36	$269.15
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 $72.44 / $123.03 / $208.93	Professional		$72.44	$123.03	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $151.36	Professional		$144.54	$151.36	$151.36