Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.10 / $773.08 / $2,046.39	Facility		$375.10	$773.08	$2,046.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $566.98	Professional		$416.78	$416.78	$566.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $250.07 / $416.78	Professional		$250.07	$250.07	$416.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $450.12 / $1,975.54	Facility		$416.78	$450.12	$1,975.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $625.16 / $1,523.83	Facility		$416.78	$625.16	$1,523.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $375.10 / $583.49	Professional		$291.75	$375.10	$583.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $437.62 / $437.62	Facility		$437.62	$437.62	$437.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.33 / $297.63 / $1,044.68	Facility		$263.33	$297.63	$1,044.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $507.69 / $608.27	Professional		$416.78	$507.69	$608.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $666.85 / $1,979.71 / $1,979.71	Facility		$666.85	$1,979.71	$1,979.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.56 / $2,075.56 / $3,125.85	Professional		$2,075.56	$2,075.56	$3,125.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $437.62 / $1,041.25	Facility		$416.78	$437.62	$1,041.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.71 / $416.78 / $625.16	Professional		$393.71	$416.78	$625.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $675.42 / $1,136.99 / $2,838.00	Facility		$675.42	$1,136.99	$2,838.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $500.14 / $871.07	Professional		$375.10	$500.14	$871.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.26 / $416.78 / $956.62	Facility		$354.26	$416.78	$956.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.71 / $504.30 / $729.37	Professional		$393.71	$504.30	$729.37
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $175.07 / $266.77	Professional		$165.11	$175.07	$266.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $166.71 / $416.78	Professional		$166.71	$166.71	$416.78