Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $776.25 / $1,819.70	Facility		$275.42	$776.25	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $645.65	Professional		$234.42	$346.74	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $416.87	Professional		$112.20	$208.93	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,288.25 / $2,290.87	Facility		$457.09	$1,288.25	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $229.09 / $562.34	Professional		$5.01	$229.09	$562.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $2,398.83	Facility		$371.54	$645.65	$2,398.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $588.84	Professional		$295.12	$416.87	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $489.78	Facility		$416.87	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $2,089.30	Facility		$416.87	$912.01	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $870.96	Professional		$234.42	$302.00	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $3,090.30	Professional		$2,089.30	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $1,445.44	Facility		$295.12	$426.58	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $616.60	Professional		$218.78	$338.84	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $416.87	Professional		$346.74	$346.74	$416.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,454.71	Facility		$1,513.56	$1,862.09	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $1,621.81	Facility		$309.03	$512.86	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $812.83	Professional		$234.42	$331.13	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $416.87	Facility		$151.36	$173.78	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $338.84	Professional		$173.78	$239.88	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $416.87	Professional		$162.18	$346.74	$416.87