Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,715.35 / $12,022.64	Facility		$831.76	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $165.96	Professional		$41.69	$87.10	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $112.20	Professional		$66.07	$85.11	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $457.09	Facility		$64.57	$104.71	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $117.49	Professional		$41.69	$72.44	$117.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $263.03 / $478.63	Facility		$100.00	$263.03	$478.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $89.13 / $131.83	Professional		$26.92	$89.13	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $81.28 / $81.28	Facility		$37.15	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $177.83	Professional		$51.29	$102.33	$177.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,513.56	Facility		$54.95	$56.23	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $794.33	Professional		$676.08	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $107.15 / $2,511.89	Facility		$45.71	$107.15	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $91.20 / $169.82	Professional		$42.66	$91.20	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $208.93 / $257.04	Professional		$5.01	$208.93	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $97.72 / $177.83	Facility		$43.65	$97.72	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $177.83	Professional		$52.48	$102.33	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $147.91	Professional		$42.66	$81.28	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33