Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $1,445.44	Facility		$281.84	$562.34	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $645.65	Professional		$302.00	$316.23	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $489.78	Professional		$204.17	$295.12	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $758.58	Facility		$194.98	$204.17	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $870.96 / $1,071.52	Facility		$288.40	$870.96	$1,071.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $575.44	Professional		$309.03	$309.03	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $3,630.78	Professional		$2,238.72	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $1,380.38	Facility		$302.00	$467.74	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $645.65	Professional		$302.00	$316.23	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,754.23	Facility		$1,258.93	$1,778.28	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $676.08	Facility		$309.03	$380.19	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $407.38 / $1,122.02	Professional		$79.43	$407.38	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98