Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,235.94 / $12,022.64	Facility		$794.33	$3,235.94	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,023.29	Professional		$407.38	$588.84	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $549.54	Professional		$436.52	$436.52	$549.54
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 $407.38 / $562.34 / $758.58	Professional		$407.38	$562.34	$758.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,818.38 / $6,025.60	Facility		$426.58	$2,818.38	$6,025.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $707.95	Professional		$245.47	$478.63	$707.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $407.38 / $407.38	Facility		$79.43	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,122.02	Professional		$467.74	$691.83	$1,122.02
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 $4,365.16 / $5,011.87 / $5,011.87	Professional		$4,365.16	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $676.08 / $2,884.03	Facility		$446.68	$676.08	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,096.48	Professional		$416.87	$630.96	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $354.81 / $501.19	Professional		$32.36	$354.81	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,513.56 / $2,238.72	Professional		$588.84	$1,513.56	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $1,071.52	Facility		$446.68	$630.96	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,148.15	Professional		$446.68	$691.83	$1,148.15
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 $380.19 / $537.03 / $851.14	Professional		$380.19	$537.03	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $616.60	Professional		$588.84	$616.60	$616.60