Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,511.89 / $6,918.31	Facility		$537.03	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $588.84	Professional		$275.42	$338.84	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $676.08	Professional		$309.03	$389.05	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $363.08 / $812.83	Facility		$208.93	$363.08	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $501.19	Professional		$281.84	$363.08	$501.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $120.23 / $4,466.84	Facility		$83.18	$120.23	$4,466.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $302.00	Facility		$288.40	$288.40	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $645.65	Professional		$309.03	$407.38	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $28,840.32 / $28,840.32	Facility		$2,630.27	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	54	$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $2,951.21	Professional		$2,454.71	$2,951.21	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $2,454.71	Facility		$302.00	$426.58	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $676.08	Professional		$281.84	$416.87	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $302.00	Professional		$32.36	$251.19	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $630.96	Professional		$389.05	$389.05	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $398.11 / $676.08	Facility		$295.12	$398.11	$676.08
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	54	$363.08	$363.08	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $660.69	Professional		$295.12	$407.38	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $501.19	Professional		$245.47	$323.59	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $380.19	Professional		$363.08	$380.19	$380.19