Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,019.95 / $8,317.64	Facility		$707.95	$3,019.95	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $446.68	Professional		$141.25	$234.42	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $208.93 / $323.59	Professional		$85.11	$208.93	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $251.19 / $1,023.29	Facility		$154.88	$251.19	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $346.74	Professional		$134.90	$213.80	$346.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $426.58	Professional		$229.09	$323.59	$426.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $229.09	Facility		$109.65	$109.65	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Facility		$199.53	$199.53	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $380.19	Professional		$154.88	$234.42	$380.19
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 $1,949.84 / $1,949.84 / $2,398.83	Professional		$1,949.84	$1,949.84	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $3,801.89	Facility		$147.91	$295.12	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $446.68	Professional		$147.91	$239.88	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $275.42	Professional		$138.04	$229.09	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $380.19	Facility		$144.54	$239.88	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $389.05	Professional		$151.36	$239.88	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $295.12	Professional		$128.82	$194.98	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $239.88	Professional		$229.09	$239.88	$239.88