Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,090.30 / $6,918.31	Facility		$707.95	$3,090.30	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $407.38 / $851.14	Professional		$144.54	$407.38	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $436.52	Professional		$125.89	$204.17	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $4,265.80	Facility		$1,202.26	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $354.81 / $602.56	Professional		$131.83	$354.81	$602.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $5,011.87	Facility		$1,023.29	$2,089.30	$5,011.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,071.52 / $1,071.52	Facility		$138.04	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $501.19 / $1,096.48	Professional		$186.21	$501.19	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	53	$794.33	$794.33	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,073.80	Professional		$3,467.37	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,905.46 / $5,495.41	Facility		$208.93	$1,905.46	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $407.38 / $891.25	Professional		$147.91	$407.38	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $457.09 / $1,023.29	Professional		$147.91	$457.09	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $407.38 / $977.24	Facility		$147.91	$407.38	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $501.19 / $1,096.48	Professional		$186.21	$501.19	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $398.11 / $1,000.00	Professional		$154.88	$398.11	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $478.63	Professional		$457.09	$478.63	$478.63