Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $3,311.31 / $10,715.19	Facility		$72.44	$3,311.31	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $141.25	Professional		$50.12	$75.86	$141.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $186.21 / $208.93	Professional	50	$107.15	$186.21	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $75.86	Professional		$60.26	$63.10	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $389.05	Facility		$93.33	$181.97	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $100.00	Professional		$44.67	$61.66	$100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $114.82	Professional		$38.02	$75.86	$114.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.23 / $64.57	Facility		$40.74	$56.23	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $123.03	Professional		$53.70	$75.86	$123.03
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 $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $3,162.28	Facility		$48.98	$79.43	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $128.82	Professional		$50.12	$72.44	$128.82
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $208.93	Professional	50	$107.15	$107.15	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $57.54	Professional		$32.36	$41.69	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $123.03	Facility		$50.12	$75.86	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $123.03	Professional		$52.48	$77.62	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $93.33	Professional		$44.67	$63.10	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $67.61	Professional		$64.57	$67.61	$67.61