Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $724.44 / $1,445.44	Facility		$251.19	$724.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $537.03	Professional		$251.19	$416.87	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $446.68 / $1,905.46	Facility		$416.87	$446.68	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $645.65 / $933.25	Facility		$295.12	$645.65	$933.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $371.54 / $660.69	Professional		$6.03	$371.54	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $954.99	Facility		$269.15	$316.23	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $602.56	Professional		$416.87	$512.86	$602.56
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 $416.87 / $630.96 / $1,288.25	Facility		$416.87	$630.96	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $588.84	Professional		$416.87	$416.87	$588.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,454.71 / $3,311.31	Facility		$933.25	$2,454.71	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $891.25	Professional		$416.87	$446.68	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $436.52 / $954.99	Facility		$398.11	$436.52	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $724.44	Professional		$371.54	$436.52	$724.44
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 / $173.78 / $295.12	Professional		$173.78	$173.78	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $416.87 / $416.87	Professional		$162.18	$416.87	$416.87