Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,187.76 / $6,918.31	Facility		$331.13	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $190.55	Professional		$54.95	$109.65	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $61.66	Professional		$26.92	$26.92	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $645.65	Facility		$89.13	$144.54	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $186.21	Professional		$58.88	$112.20	$186.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $446.68 / $4,466.84	Facility		$134.90	$446.68	$4,466.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $125.89 / $234.42	Professional		$66.07	$125.89	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $162.18 / $3,467.37	Facility		$63.10	$162.18	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $120.23 / $234.42	Professional		$56.23	$120.23	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $275.42 / $346.74	Professional		$3.98	$275.42	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $128.82 / $229.09	Facility		$58.88	$128.82	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $125.89 / $234.42	Professional		$66.07	$125.89	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $190.55	Professional		$54.95	$104.71	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Professional		$125.89	$131.83	$131.83