Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.55 / $3,563.69 / $8,980.62	Facility		$744.55	$3,563.69	$8,980.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $313.89 / $1,260.00	Professional		$272.95	$313.89	$1,260.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.92 / $279.04 / $279.04	Professional		$253.92	$279.04	$279.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.34 / $6,936.26 / $14,115.04	Facility		$3,104.34	$6,936.26	$14,115.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.79 / $271.02 / $454.12	Professional		$207.79	$271.02	$454.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $5,076.00 / $8,715.36	Facility		$675.00	$5,076.00	$8,715.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $202.31 / $330.68 / $404.61	Professional		$202.31	$330.68	$404.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $254.92 / $4,808.27 / $4,808.27	Facility		$254.92	$4,808.27	$4,808.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,024.00 / $3,741.00 / $4,187.68	Facility		$2,024.00	$3,741.00	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.23 / $390.65 / $605.30	Professional		$294.23	$390.65	$605.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,483.85 / $2,630.26 / $2,709.17	Professional		$2,483.85	$2,630.26	$2,709.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.49 / $363.25 / $634.13	Facility		$283.49	$363.25	$634.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.31 / $439.97 / $534.86	Professional		$337.31	$439.97	$534.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,339.04 / $1,741.43 / $5,735.99	Facility		$1,339.04	$1,741.43	$5,735.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $441.60 / $743.30	Professional		$5.00	$441.60	$743.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.52 / $372.07 / $649.09	Facility		$283.52	$372.07	$649.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $414.81 / $729.19	Professional		$300.00	$414.81	$729.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,226.00 / $7,600.00	Facility		$1,165.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.48 / $324.05 / $506.77	Professional		$238.48	$324.05	$506.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $286.87 / $388.19	Professional		$245.42	$286.87	$388.19