Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,995.26 / $6,606.93	Facility		$426.58	$1,995.26	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $501.19	Professional		$169.82	$275.42	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $331.13	Professional		$109.65	$165.96	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $4,265.80	Facility		$1,230.27	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $380.19	Professional		$181.97	$251.19	$380.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $575.44 / $1,584.89	Facility		$109.65	$575.44	$1,584.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $371.54	Professional		$112.20	$154.88	$371.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,862.09 / $1,862.09	Facility		$177.83	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $524.81	Professional		$208.93	$302.00	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $19,498.45 / $19,498.45	Facility		$3,715.35	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,344.23	Professional		$1,995.26	$2,344.23	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $380.19 / $3,548.13	Facility		$208.93	$380.19	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $524.81	Professional		$199.53	$302.00	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $5,623.41	Facility		$3,388.44	$5,370.32	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $616.60 / $758.58	Professional		$5.01	$616.60	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $309.03 / $549.54	Facility		$190.55	$309.03	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $524.81	Professional		$208.93	$309.03	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $426.58	Professional		$169.82	$263.03	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $281.84	Professional		$269.15	$281.84	$281.84