Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,884.03 / $8,317.64	Facility		$676.08	$2,884.03	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $457.09	Professional		$125.89	$245.47	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $165.96	Professional		$61.66	$125.89	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $4,265.80	Facility		$1,202.26	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $363.08	Professional		$120.23	$229.09	$363.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,905.46 / $3,981.07	Facility		$501.19	$1,905.46	$3,981.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $204.17	Professional		$72.44	$162.18	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,698.24 / $1,698.24	Facility		$117.49	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $489.78	Professional		$144.54	$263.03	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $19,498.45 / $19,498.45	Facility		$4,466.84	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility	52	$3,630.78	$3,630.78	$3,630.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,089.30	Professional		$1,819.70	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $398.11 / $4,265.80	Facility		$151.36	$398.11	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $524.81	Professional		$131.83	$257.04	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $660.69 / $794.33	Professional		$6.03	$660.69	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $537.03	Facility		$141.25	$288.40	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $501.19	Professional		$144.54	$263.03	$501.19
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 $123.03 / $223.87 / $426.58	Professional		$123.03	$223.87	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $288.40	Professional		$269.15	$288.40	$288.40