Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,235.94 / $8,317.64	Facility		$870.96	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $1,230.27	Professional		$302.00	$426.58	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $575.44	Professional		$208.93	$346.74	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $4,265.80	Facility		$1,348.96	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $549.54	Professional		$323.59	$416.87	$549.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,548.82 / $5,888.44	Facility		$489.78	$1,548.82	$5,888.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $562.34	Professional		$190.55	$331.13	$562.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,047.13 / $1,047.13	Facility		$331.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $741.31	Professional		$338.84	$467.74	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $45,708.82 / $45,708.82	Facility		$4,786.30	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,019.95	Professional		$2,570.40	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $4,365.16	Facility		$354.81	$575.44	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $812.83	Professional		$323.59	$457.09	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $5,623.41	Facility		$3,388.44	$5,370.32	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,202.26 / $1,288.25	Professional		$467.74	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $758.58	Facility		$338.84	$467.74	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $724.44	Professional		$331.13	$457.09	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $575.44	Professional		$275.42	$363.08	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $346.74	Professional		$323.59	$346.74	$346.74