Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,884.03 / $6,918.31	Facility		$707.95	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,096.48	Professional		$309.03	$512.86	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $467.74	Professional		$158.49	$165.96	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $4,466.84	Facility		$1,288.25	$2,238.72	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $660.69	Professional		$309.03	$478.63	$660.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $660.69 / $2,238.72	Facility		$309.03	$660.69	$2,238.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $588.84	Professional		$331.13	$380.19	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,412.54 / $1,412.54	Facility		$309.03	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $933.25	Professional		$354.81	$549.54	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,840.32 / $28,840.32	Facility		$3,981.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $4,466.84	Professional		$3,801.89	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $588.84 / $2,511.89	Facility		$331.13	$588.84	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,023.29	Professional		$316.23	$537.03	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $269.15 / $457.09	Professional		$32.36	$269.15	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,000.00	Professional		$512.86	$512.86	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $912.01	Facility		$316.23	$537.03	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $954.99	Professional		$338.84	$549.54	$954.99
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 $288.40 / $446.68 / $707.95	Professional		$288.40	$446.68	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $575.44	Professional		$549.54	$575.44	$575.44