Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $363.08 / $630.96	Facility		$154.88	$363.08	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $524.81	Professional		$162.18	$199.53	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $295.12 / $426.58	Professional		$100.00	$295.12	$426.58
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 $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $371.54	Facility		$181.97	$275.42	$371.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $234.42	Professional		$169.82	$169.82	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,235.94	Professional		$2,630.27	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $354.81 / $602.56	Facility		$117.49	$354.81	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $398.11	Professional		$165.96	$218.78	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $218.78	Professional		$81.28	$218.78	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,380.38	Professional		$104.71	$104.71	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $346.74 / $602.56	Facility		$162.18	$346.74	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $234.42	Professional		$169.82	$169.82	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $426.58	Facility		$112.20	$181.97	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $537.03	Professional		$151.36	$218.78	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54