Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $11,220.18	Facility		$1,000.00	$3,715.35	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $1,047.13	Professional		$257.04	$316.23	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $257.04	Professional		$223.87	$239.88	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $14,791.08	Facility		$3,801.89	$7,413.10	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $416.87	Professional		$239.88	$295.12	$416.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,265.80 / $7,943.28	Facility		$602.56	$4,265.80	$7,943.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $371.54	Professional		$186.21	$186.21	$371.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $251.19	Facility		$239.88	$239.88	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,548.13 / $4,168.69	Facility		$457.09	$3,548.13	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $562.34	Professional		$257.04	$346.74	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,290.87	Professional		$1,995.26	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $2,630.27	Facility		$257.04	$363.08	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $616.60	Professional		$257.04	$302.00	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $691.83	Professional		$302.00	$501.19	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $346.74 / $602.56	Facility		$251.19	$346.74	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $616.60	Professional		$251.19	$354.81	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $8,912.51	Facility		$1,380.38	$3,981.07	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $436.52	Professional		$218.78	$281.84	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $295.12	Professional		$208.93	$251.19	$295.12