Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,754.23 / $6,918.31	Facility		$645.65	$2,754.23	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $870.96	Professional		$331.13	$501.19	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $478.63	Professional		$281.84	$346.74	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $8,128.31	Facility		$2,137.96	$4,168.69	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $645.65	Professional		$331.13	$467.74	$645.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $5,888.44	Facility		$707.95	$2,951.21	$5,888.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $338.84 / $338.84	Facility		$79.43	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $954.99	Professional		$380.19	$588.84	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $28,840.32 / $28,840.32	Facility		$8,912.51	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $4,265.80	Professional		$3,715.35	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $2,570.40	Facility		$380.19	$602.56	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $912.01	Professional		$338.84	$524.81	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $302.00 / $457.09	Professional		$32.36	$302.00	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $933.25	Facility		$380.19	$562.34	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $977.24	Professional		$371.54	$588.84	$977.24
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 $316.23 / $457.09 / $741.31	Professional		$316.23	$457.09	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $537.03	Professional		$501.19	$537.03	$537.03