Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,467.37 / $7,943.28	Facility		$794.33	$3,467.37	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $630.96 / $1,230.27	Professional		$158.49	$630.96	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $331.13	Professional		$151.36	$169.82	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $4,466.84	Facility		$1,230.27	$2,238.72	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $524.81 / $1,047.13	Professional		$165.96	$524.81	$1,047.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $5,623.41	Facility		$1,023.29	$2,570.40	$5,623.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $616.60 / $616.60	Facility		$151.36	$616.60	$616.60
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 $204.17 / $724.44 / $1,659.59	Professional		$204.17	$724.44	$1,659.59
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 Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $6,165.95	Professional		$5,248.07	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,819.70 / $6,918.31	Facility		$208.93	$1,819.70	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $645.65 / $1,318.26	Professional		$162.18	$645.65	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $660.69 / $1,513.56	Professional		$162.18	$660.69	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $616.60 / $1,479.11	Facility		$162.18	$616.60	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $660.69 / $1,659.59	Professional		$204.17	$660.69	$1,659.59
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 $169.82 / $524.81 / $1,513.56	Professional		$169.82	$524.81	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $724.44	Professional		$691.83	$724.44	$724.44