Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,022.64	Facility		$1,000.00	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $831.76	Professional		$338.84	$512.86	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $446.68	Professional		$331.13	$338.84	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,168.69 / $8,317.64	Facility		$2,454.71	$4,168.69	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $660.69	Professional		$338.84	$478.63	$660.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $416.87	Professional		$181.97	$208.93	$416.87
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 $389.05 / $602.56 / $977.24	Professional		$389.05	$602.56	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,365.16 / $4,365.16	Professional		$3,801.89	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $3,548.13	Facility		$380.19	$602.56	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $954.99	Professional		$346.74	$524.81	$954.99
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 $616.60 / $1,288.25 / $1,995.26	Professional		$616.60	$1,288.25	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $954.99	Facility		$380.19	$562.34	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,000.00	Professional		$371.54	$588.84	$1,000.00
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 / $467.74 / $741.31	Professional		$316.23	$467.74	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $537.03 / $537.03	Professional		$512.86	$537.03	$537.03