Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,715.35 / $12,022.64	Facility		$870.96	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $812.83 / $3,235.94	Professional		$223.87	$812.83	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $398.11	Professional		$177.83	$229.09	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $14,125.38	Facility		$4,168.69	$7,413.10	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,380.38 / $2,398.83	Professional		$173.78	$1,380.38	$2,398.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $426.58	Professional		$208.93	$288.40	$426.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $4,265.80 / $4,265.80	Facility		$190.55	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $562.34 / $4,265.80	Professional		$251.19	$562.34	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $16,218.10 / $16,218.10	Professional		$13,803.84	$16,218.10	$16,218.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,454.71 / $7,943.28	Facility		$263.03	$2,454.71	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,995.26 / $3,548.13	Professional		$229.09	$1,995.26	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $6,918.31	Professional		$691.83	$741.31	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,737.80 / $4,570.88	Facility		$223.87	$1,737.80	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $562.34 / $4,265.80	Professional		$245.47	$562.34	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,479.11 / $3,981.07	Professional		$208.93	$1,479.11	$3,981.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Professional		$1,778.28	$1,778.28	$1,862.09