Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,467.37 / $10,471.29	Facility		$812.83	$3,467.37	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,778.28	Professional		$436.52	$676.08	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $676.08	Professional		$416.87	$457.09	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $4,677.35	Facility		$1,380.38	$2,344.23	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Professional		$389.05	$457.09	$724.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $5,754.40	Facility		$1,023.29	$2,041.74	$5,754.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $537.03	Professional		$467.74	$467.74	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,513.56 / $1,513.56	Facility		$436.52	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,000.00	Professional		$467.74	$630.96	$1,000.00
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 AS Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	AS	$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $4,073.80	Professional		$3,388.44	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $977.24 / $6,309.57	Facility		$467.74	$977.24	$6,309.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,202.26	Professional		$436.52	$616.60	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $407.38	Professional		$32.36	$61.66	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $1,047.13	Facility		$446.68	$616.60	$1,047.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	AS	$81.28	$81.28	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $977.24	Professional		$446.68	$630.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $794.33	Professional		$389.05	$512.86	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $478.63	Professional		$436.52	$478.63	$478.63