Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,137.96 / $6,606.93	Facility		$467.74	$2,137.96	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $575.44	Professional		$190.55	$263.03	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $275.42	Professional		$125.89	$204.17	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $2,238.72	Facility		$630.96	$1,071.52	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $295.12	Professional		$154.88	$199.53	$295.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $549.54 / $1,737.80	Facility		$109.65	$549.54	$1,737.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $346.74	Professional		$169.82	$199.53	$346.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,445.44 / $1,445.44	Facility		$169.82	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $467.74	Professional		$204.17	$281.84	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $19,498.45 / $19,498.45	Facility		$3,548.13	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	AS	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,290.87	Professional		$1,862.09	$1,862.09	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $724.44 / $4,677.35	Facility		$229.09	$724.44	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $537.03	Professional		$199.53	$281.84	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $630.96	Professional		$177.83	$251.19	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $302.00 / $512.86	Facility		$204.17	$302.00	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $467.74	Professional		$199.53	$281.84	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $6,309.57	Facility		$724.44	$2,511.89	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $380.19	Professional		$169.82	$245.47	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $234.42	Professional		$218.78	$218.78	$234.42