Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,467.37 / $9,549.93	Facility		$831.76	$3,467.37	$9,549.93
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	22	$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,862.09	Professional		$524.81	$776.25	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $630.96 / $933.25	Professional		$316.23	$630.96	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,943.28	Facility		$2,137.96	$3,981.07	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Professional		$549.54	$645.65	$1,023.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,230.27 / $5,011.87	Facility		$524.81	$1,230.27	$5,011.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $912.01	Professional		$457.09	$758.58	$912.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,290.87 / $2,290.87	Facility		$588.84	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,380.38	Professional		$616.60	$831.76	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $6,760.83	Facility		$645.65	$1,288.25	$6,760.83
Moda Health Facility/Professional Facility Modifier 22 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	22	$1,698.24	$1,698.24	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,659.59	Professional		$588.84	$831.76	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,079.46 / $7,244.36	Facility		$3,388.44	$7,079.46	$7,244.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,288.25 / $1,778.28	Professional		$5.01	$1,288.25	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,479.11	Facility		$588.84	$812.83	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,380.38	Professional		$588.84	$851.14	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,071.52	Professional		$501.19	$676.08	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $630.96	Professional		$588.84	$630.96	$630.96