Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $512.86 / $1,412.54	Facility		$165.96	$512.86	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $398.11	Professional		$169.82	$223.87	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $891.25 / $1,659.59	Facility		$338.84	$891.25	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $151.36 / $371.54	Professional		$5.01	$151.36	$371.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $245.47	Professional		$190.55	$234.42	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $562.34 / $1,174.90	Facility		$194.98	$562.34	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $512.86	Professional		$138.04	$263.03	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $630.96	Facility		$199.53	$275.42	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $218.78 / $354.81	Professional		$7.94	$218.78	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $229.09 / $263.03	Professional		$44.67	$229.09	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $588.84	Professional		$275.42	$295.12	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $812.83	Facility		$194.98	$316.23	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $467.74	Professional		$141.25	$281.84	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $275.42	Facility		$100.00	$114.82	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $275.42	Professional		$107.15	$229.09	$275.42