Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $489.78 / $1,096.48	Facility		$229.09	$489.78	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $478.63	Professional		$229.09	$269.15	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $371.54 / $501.19	Professional		$363.08	$371.54	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $512.86	Professional		$316.23	$416.87	$512.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $524.81 / $524.81	Facility		$79.43	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $4,365.16	Professional		$3,548.13	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $426.58 / $724.44	Facility		$234.42	$426.58	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $524.81	Professional		$229.09	$281.84	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $288.40	Professional		$281.84	$281.84	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $724.44	Facility		$234.42	$398.11	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $588.84	Facility		$158.49	$257.04	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $363.08	Professional		$213.80	$309.03	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81