Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $323.59 / $912.01	Facility		$91.20	$323.59	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $371.54	Professional		$75.86	$151.36	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.04 / $323.59	Professional		$100.00	$257.04	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $331.13 / $575.44	Facility		$134.90	$331.13	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $446.68	Professional		$245.47	$302.00	$446.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $93.33	Facility		$63.10	$77.62	$93.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $275.42 / $275.42	Facility		$257.04	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $316.23 / $645.65	Professional		$117.49	$316.23	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $2,344.23	Professional		$1,445.44	$2,344.23	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $588.84	Facility		$79.43	$151.36	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $158.49 / $512.86	Professional		$75.86	$158.49	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $616.60	Professional		$263.03	$467.74	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $263.03 / $467.74	Facility		$85.11	$263.03	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $309.03 / $660.69	Professional		$117.49	$309.03	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $173.78	Professional		$63.10	$87.10	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $346.74	Professional		$275.42	$288.40	$346.74