Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,467.37 / $11,481.54	Facility		$977.24	$3,467.37	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $2,290.87	Professional		$676.08	$912.01	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $1,288.25	Professional		$676.08	$707.95	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $7,244.36	Facility		$2,089.30	$3,715.35	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,148.15	Professional		$676.08	$831.76	$1,148.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,187.76 / $2,187.76	Facility		$676.08	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,584.89	Professional		$741.31	$977.24	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	AS	$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,456.54 / $6,456.54	Professional		$5,248.07	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $5,754.40	Facility		$707.95	$1,230.27	$5,754.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,698.24	Professional		$676.08	$954.99	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $630.96	Professional		$32.36	$95.50	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,380.38	Professional		$446.68	$446.68	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,659.59	Facility		$691.83	$954.99	$1,659.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	AS	$125.89	$125.89	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,548.82	Professional		$676.08	$977.24	$1,548.82
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 $616.60 / $812.83 / $1,258.93	Professional		$616.60	$812.83	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $741.31	Professional		$676.08	$741.31	$741.31