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 / $7,079.46	Facility		$707.95	$2,884.03	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $891.25	Professional		$295.12	$478.63	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $512.86	Professional		$147.91	$302.00	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $4,466.84	Facility		$1,318.26	$2,290.87	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $645.65	Professional		$295.12	$457.09	$645.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $616.60 / $1,819.70	Facility		$234.42	$616.60	$1,819.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $177.83	Professional		$158.49	$158.49	$177.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,513.56 / $1,513.56	Facility		$302.00	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $870.96	Professional		$338.84	$524.81	$870.96
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 $4,265.80 / $4,265.80 / $5,623.41	Professional		$4,265.80	$4,265.80	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $2,511.89	Facility		$323.59	$562.34	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $954.99	Professional		$309.03	$512.86	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $426.58	Professional		$32.36	$251.19	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $933.25	Professional		$549.54	$549.54	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $851.14	Facility		$323.59	$512.86	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $912.01	Professional		$323.59	$524.81	$912.01
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 / $426.58 / $660.69	Professional		$275.42	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $549.54	Professional		$512.86	$549.54	$549.54