Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $11,481.54	Facility		$812.83	$3,235.94	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $812.83 / $1,548.82	Professional		$323.59	$812.83	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $912.01	Professional		$446.68	$457.09	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $7,943.28	Facility		$1,905.46	$3,981.07	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $691.83 / $1,202.26	Professional		$338.84	$691.83	$1,202.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,122.02 / $2,754.23	Facility		$169.82	$1,122.02	$2,754.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $645.65	Professional		$537.03	$562.34	$645.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,290.87 / $2,290.87	Facility		$363.08	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $1,548.82	Professional		$380.19	$812.83	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,128.31 / $8,128.31	Professional		$6,918.31	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,000.00 / $3,890.45	Facility		$371.54	$1,000.00	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $851.14 / $1,698.24	Professional		$338.84	$851.14	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,905.46 / $2,691.53	Professional		$5.01	$1,905.46	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $776.25 / $1,584.89	Facility		$338.84	$776.25	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,584.89	Professional		$371.54	$812.83	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $676.08 / $1,318.26	Professional		$295.12	$676.08	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $954.99	Professional		$912.01	$954.99	$954.99