Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $3,090.30 / $9,772.37	Facility	50	$977.24	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $891.25	Professional		$416.87	$537.03	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $741.31	Professional		$338.84	$524.81	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $9,332.54	Facility		$2,691.53	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $870.96	Professional		$512.86	$645.65	$870.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $1,096.48	Professional		$263.03	$524.81	$1,096.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,071.52	Professional		$501.19	$676.08	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $19,498.45 / $19,498.45	Facility		$8,709.64	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $4,786.30	Professional		$3,981.07	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $3,890.45	Facility		$489.78	$794.33	$3,890.45
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $3,090.30 / $10,471.29	Facility	50	$1,122.02	$3,090.30	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,202.26	Professional		$446.68	$691.83	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,819.70 / $1,905.46	Professional		$645.65	$1,819.70	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $1,096.48	Facility		$478.63	$602.56	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,122.02	Professional		$501.19	$676.08	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $851.14	Professional		$407.38	$549.54	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $537.03	Professional		$489.78	$537.03	$537.03