Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,467.37 / $11,748.98	Facility		$794.33	$3,467.37	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $933.25	Professional		$398.11	$575.44	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $446.68	Professional		$239.88	$389.05	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,128.31	Facility		$2,187.76	$4,265.80	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $741.31	Professional		$398.11	$549.54	$741.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $724.44	Professional		$426.58	$562.34	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,398.83 / $2,398.83	Facility		$398.11	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,096.48	Professional		$457.09	$660.69	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,897.79 / $4,897.79	Professional		$4,265.80	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $2,884.03	Facility		$436.52	$660.69	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,047.13	Professional		$398.11	$602.56	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $354.81 / $512.86	Professional		$32.36	$354.81	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,479.11 / $2,137.96	Professional		$602.56	$1,479.11	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $616.60 / $1,047.13	Facility		$426.58	$616.60	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,122.02	Professional		$436.52	$660.69	$1,122.02
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 $371.54 / $524.81 / $831.76	Professional		$371.54	$524.81	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $588.84	Professional		$562.34	$588.84	$588.84