Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,511.89 / $7,413.10	Facility		$537.03	$2,511.89	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $316.23	Professional		$100.00	$144.54	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $162.18	Professional		$117.49	$125.89	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $512.86	Facility		$70.79	$117.49	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $194.98	Professional		$93.33	$123.03	$194.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $208.93	Professional		$91.20	$138.04	$208.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $234.42	Facility		$85.11	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Facility		$93.33	$93.33	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $229.09	Professional		$104.71	$141.25	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $13,489.63 / $13,489.63	Facility		$2,951.21	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,071.52	Professional		$933.25	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $162.18 / $3,548.13	Facility		$102.33	$162.18	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $251.19	Professional		$102.33	$141.25	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $251.19	Professional		$87.10	$134.90	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $141.25 / $218.78	Facility		$97.72	$141.25	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $229.09	Professional		$104.71	$144.54	$229.09
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 $87.10 / $117.49 / $173.78	Professional		$87.10	$117.49	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Professional		$125.89	$131.83	$131.83