Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,019.95 / $10,471.29	Facility		$794.33	$3,019.95	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,148.15	Professional		$416.87	$602.56	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $363.08 / $616.60	Professional		$56.23	$363.08	$616.60
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 $389.05 / $524.81 / $741.31	Professional		$389.05	$524.81	$741.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,818.38 / $7,585.78	Facility		$616.60	$2,818.38	$7,585.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $691.83	Professional		$316.23	$478.63	$691.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,398.83 / $2,398.83	Facility		$407.38	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,148.15	Professional		$478.63	$707.95	$1,148.15
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 Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $4,897.79	Professional		$4,365.16	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $741.31 / $3,235.94	Facility		$457.09	$741.31	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,071.52	Professional		$426.58	$630.96	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $489.78	Professional		$32.36	$75.86	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,187.76	Professional		$794.33	$1,513.56	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $1,122.02	Facility		$457.09	$691.83	$1,122.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	AS	$75.86	$75.86	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,122.02	Professional		$457.09	$707.95	$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 $389.05 / $562.34 / $891.25	Professional		$389.05	$562.34	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $602.56	Professional		$575.44	$602.56	$602.56