Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,467.37 / $11,748.98	Facility		$831.76	$3,467.37	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,047.13	Professional		$380.19	$524.81	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $501.19	Professional		$194.98	$407.38	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $4,677.35	Facility		$1,380.38	$2,238.72	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $660.69	Professional		$389.05	$489.78	$660.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $5,754.40	Facility		$1,023.29	$1,949.84	$5,754.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $398.11	Professional		$199.53	$239.88	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,905.46 / $1,905.46	Facility		$398.11	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $891.25	Professional		$416.87	$562.34	$891.25
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 $3,019.95 / $3,630.78 / $3,630.78	Professional		$3,019.95	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $5,248.07	Facility		$416.87	$794.33	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $891.25	Professional		$389.05	$549.54	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $363.08	Professional		$32.36	$54.95	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $794.33	Professional		$331.13	$331.13	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $933.25	Facility		$398.11	$549.54	$933.25
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	AS	$72.44	$72.44	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $870.96	Professional		$398.11	$562.34	$870.96
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 $346.74 / $457.09 / $707.95	Professional		$346.74	$457.09	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $426.58	Professional		$389.05	$426.58	$426.58