Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,691.53 / $6,918.31	Facility		$602.56	$2,691.53	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $707.95	Professional		$194.98	$288.40	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $309.03	Professional		$107.15	$208.93	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $4,466.84	Facility		$1,096.48	$2,089.30	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $389.05	Professional		$181.97	$251.19	$389.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $3,467.37	Facility		$478.63	$1,000.00	$3,467.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $338.84	Professional		$281.84	$295.12	$338.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $660.69 / $660.69	Facility		$199.53	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $75.86	Facility		$69.18	$69.18	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $524.81	Professional		$234.42	$338.84	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $28,840.32 / $28,840.32	Facility		$7,762.47	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,630.27	Professional		$2,238.72	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $3,715.35	Facility		$213.80	$398.11	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $602.56	Professional		$199.53	$316.23	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,466.84 / $4,466.84	Facility		$1,445.44	$4,466.84	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $309.03 / $501.19	Facility		$199.53	$309.03	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $537.03	Professional		$239.88	$346.74	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $4,168.69	Facility		$436.52	$1,819.70	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $457.09	Professional		$199.53	$288.40	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03