Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,187.76 / $6,918.31	Facility		$457.09	$2,187.76	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,585.78 / $11,481.54 / $11,481.54	Facility	50	$7,585.78	$11,481.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $1,047.13	Professional		$234.42	$426.58	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $870.96 / $1,949.84	Professional	50	$645.65	$870.96	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $288.40	Professional		$199.53	$234.42	$288.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $316.23 / $354.81	Professional	50	$316.23	$316.23	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $1,584.89	Facility		$234.42	$380.19	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $346.74	Professional		$173.78	$208.93	$346.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $602.56 / $954.99	Facility		$269.15	$602.56	$954.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $416.87	Professional		$120.23	$269.15	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $489.78 / $489.78	Facility		$181.97	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $186.21	Facility		$177.83	$177.83	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $831.76	Professional		$229.09	$549.54	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $562.34 / $3,548.13	Facility		$229.09	$562.34	$3,548.13
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,585.78 / $7,585.78 / $11,481.54	Facility	50	$7,585.78	$7,585.78	$11,481.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $851.14	Professional		$223.87	$323.59	$851.14
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,096.48 / $2,691.53	Professional	50	$645.65	$1,096.48	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $512.86	Professional		$194.98	$346.74	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $426.58 / $891.25	Facility		$223.87	$426.58	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $851.14	Professional		$229.09	$549.54	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,659.59 / $4,168.69	Facility		$407.38	$1,659.59	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $758.58	Professional		$380.19	$512.86	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $245.47	Professional		$234.42	$245.47	$245.47