Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $7,413.10	Facility		$707.95	$2,818.38	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $954.99	Professional		$295.12	$501.19	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $478.63	Professional		$181.97	$363.08	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $4,265.80	Facility		$1,288.25	$2,137.96	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $676.08	Professional		$295.12	$467.74	$676.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $575.44 / $1,174.90	Facility		$295.12	$575.44	$1,174.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $363.08	Professional		$323.59	$323.59	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,000.00 / $1,000.00	Facility		$295.12	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $912.01	Professional		$346.74	$537.03	$912.01
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 $3,715.35 / $4,365.16 / $4,365.16	Professional		$3,715.35	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $575.44 / $2,754.23	Facility		$331.13	$575.44	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $977.24	Professional		$309.03	$524.81	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $263.03 / $436.52	Professional		$32.36	$263.03	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $977.24	Professional		$467.74	$467.74	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $870.96	Facility		$323.59	$512.86	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $954.99	Professional		$331.13	$537.03	$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 $281.84 / $416.87 / $676.08	Professional		$281.84	$416.87	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Professional		$524.81	$562.34	$562.34