Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,290.87 / $6,918.31	Facility		$467.74	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $616.60	Professional		$134.90	$323.59	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $323.59 / $549.54	Professional		$83.18	$323.59	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $4,466.84	Facility		$1,318.26	$2,238.72	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $436.52	Professional		$128.82	$257.04	$436.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,698.24 / $3,715.35	Facility		$537.03	$1,698.24	$3,715.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $446.68	Professional		$162.18	$223.87	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,862.09 / $1,862.09	Facility		$134.90	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $676.08	Professional		$158.49	$346.74	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $19,498.45 / $19,498.45	Facility		$3,981.07	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $2,951.21	Professional		$2,884.03	$2,951.21	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $389.05 / $2,238.72	Facility		$144.54	$389.05	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $660.69	Professional		$138.04	$331.13	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $302.00	Professional		$32.36	$120.23	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $416.87 / $1,348.96	Professional		$151.36	$416.87	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $338.84 / $707.95	Facility		$141.25	$338.84	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $676.08	Professional		$154.88	$331.13	$676.08
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 $128.82 / $281.84 / $537.03	Professional		$128.82	$281.84	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $371.54	Professional		$354.81	$371.54	$371.54