Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,290.87 / $6,918.31	Facility		$524.81	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $371.54	Professional		$70.79	$186.21	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $323.59 / $331.13	Professional	50	$323.59	$323.59	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $912.01	Facility		$125.89	$204.17	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $158.49 / $269.15	Professional		$64.57	$158.49	$269.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $346.74 / $446.68	Facility		$213.80	$346.74	$446.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $165.96 / $302.00	Professional		$75.86	$165.96	$302.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $173.78 / $173.78	Facility		$54.95	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Facility		$162.18	$162.18	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $173.78 / $323.59	Professional		$74.13	$173.78	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,265.80	Facility		$54.95	$56.23	$4,265.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $223.87 / $3,548.13	Facility		$67.61	$223.87	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $190.55 / $363.08	Professional		$69.18	$190.55	$363.08
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	50	$331.13	$331.13	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
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 $66.07 / $177.83 / $309.03	Facility		$66.07	$177.83	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $323.59	Professional		$74.13	$177.83	$323.59
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 $64.57 / $134.90 / $257.04	Professional		$64.57	$134.90	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $181.97	Professional		$173.78	$181.97	$181.97