Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,754.23 / $7,943.28	Facility		$691.83	$2,754.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $467.74	Professional		$194.98	$239.88	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $338.84	Professional		$229.09	$302.00	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $831.76	Facility		$114.82	$194.98	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $331.13	Professional		$194.98	$245.47	$331.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,737.80 / $2,238.72	Facility		$204.17	$1,737.80	$2,238.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $380.19	Professional		$134.90	$269.15	$380.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $977.24 / $977.24	Facility		$194.98	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $478.63	Professional		$218.78	$302.00	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $13,489.63 / $13,489.63	Facility		$2,951.21	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,454.71	Professional		$1,995.26	$1,995.26	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $309.03 / $2,511.89	Facility		$208.93	$309.03	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $426.58	Professional		$194.98	$269.15	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $169.82 / $204.17	Professional		$32.36	$169.82	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $478.63	Facility		$204.17	$295.12	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $478.63	Professional		$213.80	$302.00	$478.63
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 $177.83 / $239.88 / $363.08	Professional		$177.83	$239.88	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $239.88	Professional		$229.09	$239.88	$239.88