Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,715.35 / $13,489.63	Facility		$954.99	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $758.58	Professional		$302.00	$457.09	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $588.84	Professional		$407.38	$407.38	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,168.69 / $8,128.31	Facility		$2,187.76	$4,168.69	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $602.56	Professional		$302.00	$436.52	$602.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $630.96 / $2,344.23	Facility		$112.20	$630.96	$2,344.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $562.34	Professional		$204.17	$371.54	$562.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,398.83 / $2,398.83	Facility		$302.00	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $891.25	Professional		$346.74	$537.03	$891.25
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 $3,467.37 / $3,981.07 / $3,981.07	Professional		$3,467.37	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $3,090.30	Facility		$338.84	$537.03	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $851.14	Professional		$309.03	$478.63	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $269.15 / $398.11	Professional		$32.36	$269.15	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $933.25	Professional		$549.54	$549.54	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $851.14	Facility		$338.84	$501.19	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $891.25	Professional		$338.84	$537.03	$891.25
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 $288.40 / $426.58 / $676.08	Professional		$288.40	$426.58	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78