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 Professional Modifier Low / Median / High Price $128.82 / $194.98 / $338.84	Professional		$128.82	$194.98	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $6,309.57	Facility		$1,737.80	$3,235.94	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $288.40	Professional		$123.03	$186.21	$288.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $269.15	Professional		$190.55	$218.78	$269.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $199.53	Facility		$112.20	$112.20	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Facility		$1,479.11	$1,479.11	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $331.13	Professional		$134.90	$199.53	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $19,498.45 / $19,498.45	Facility		$6,918.31	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $1,621.81	Professional		$1,412.54	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $3,548.13	Facility		$128.82	$234.42	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $354.81	Professional		$131.83	$204.17	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $165.96	Professional		$32.36	$95.50	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $316.23	Facility		$123.03	$194.98	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $331.13	Professional		$134.90	$199.53	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $245.47	Professional		$109.65	$162.18	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53