Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,905.46 / $6,918.31	Facility		$524.81	$1,905.46	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $1,380.38 / $2,041.74	Facility	50	$676.08	$1,380.38	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $269.15	Professional		$56.23	$95.50	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $186.21 / $457.09	Professional	50	$85.11	$186.21	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $117.49	Professional		$50.12	$91.20	$117.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $131.83 / $165.96	Professional	50	$81.28	$131.83	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $977.24 / $3,801.89	Facility		$190.55	$977.24	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $123.03	Professional		$47.86	$79.43	$123.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $741.31 / $912.01	Facility		$58.88	$741.31	$912.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $158.49	Professional		$57.54	$91.20	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $398.11 / $398.11	Facility		$50.12	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $186.21	Professional		$64.57	$107.15	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $371.54	Facility		$54.95	$56.23	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $3,162.28	Facility		$57.54	$128.82	$3,162.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $467.74 / $1,380.38 / $2,511.89	Facility	50	$467.74	$1,380.38	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $190.55	Professional		$57.54	$93.33	$190.55
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $169.82 / $426.58	Professional	50	$85.11	$169.82	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $32.36 / $77.62	Professional		$8.32	$32.36	$77.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,388.44	Facility		$2,344.23	$3,019.95	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $181.97	Professional		$109.65	$109.65	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $102.33 / $181.97	Facility		$56.23	$102.33	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $181.97	Professional		$64.57	$107.15	$181.97
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 / $85.11 / $147.91	Professional		$52.48	$85.11	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $102.33	Professional		$97.72	$102.33	$102.33