Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,570.40 / $6,918.31	Facility		$630.96	$2,570.40	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $223.87	Professional		$52.48	$102.33	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $120.23	Professional		$47.86	$50.12	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $138.04	Professional		$46.77	$89.13	$138.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $794.33 / $977.24	Facility		$54.95	$794.33	$977.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $123.03	Professional		$107.15	$107.15	$123.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $87.10	Facility		$47.86	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $208.93	Professional		$61.66	$114.82	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $346.74	Facility		$54.95	$56.23	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $912.01	Professional		$851.14	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $707.95 / $4,786.30	Facility		$70.79	$707.95	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $223.87	Professional		$53.70	$107.15	$223.87
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 $177.83 / $213.80 / $478.63	Professional		$177.83	$213.80	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $109.65 / $213.80	Facility		$52.48	$109.65	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $208.93	Professional		$60.26	$114.82	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $173.78	Professional		$52.48	$97.72	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89