Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,089.30 / $6,760.83	Facility		$537.03	$2,089.30	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $1,698.24 / $3,630.78	Facility	50	$794.33	$1,698.24	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $194.98 / $645.65	Professional		$56.23	$194.98	$645.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $323.59 / $1,096.48	Professional	50	$83.18	$323.59	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $281.84	Professional		$52.48	$95.50	$281.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $141.25 / $416.87	Professional	50	$77.62	$141.25	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $3,801.89	Facility		$549.54	$1,096.48	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $169.82 / $295.12	Professional		$47.86	$169.82	$295.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $1,047.13 / $3,311.31	Facility		$58.88	$1,047.13	$3,311.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $194.98 / $398.11	Professional		$66.07	$194.98	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $524.81 / $524.81	Facility		$50.12	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $147.91 / $338.84	Professional		$64.57	$147.91	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $724.44 / $1,698.24	Facility		$54.95	$724.44	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $1,949.84	Professional		$1,698.24	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $275.42 / $3,630.78	Facility		$57.54	$275.42	$3,630.78
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $1,659.59 / $3,630.78	Facility	50	$741.31	$1,659.59	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $177.83 / $446.68	Professional		$56.23	$177.83	$446.68
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $190.55 / $912.01	Professional	50	$83.18	$190.55	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,073.80 / $4,265.80	Facility		$891.25	$4,073.80	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $933.25	Professional		$186.21	$213.80	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $165.96 / $389.05	Facility		$54.95	$165.96	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $354.81	Professional		$64.57	$138.04	$354.81
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 / $131.83 / $263.03	Professional		$52.48	$131.83	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $251.19	Professional		$239.88	$251.19	$251.19