Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,801.89 / $11,220.18	Facility		$977.24	$3,801.89	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $954.99	Professional		$204.17	$281.84	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $1,122.02	Professional		$102.33	$177.83	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,943.28	Facility		$2,238.72	$4,265.80	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $331.13	Professional		$194.98	$234.42	$331.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,311.31 / $7,413.10	Facility		$724.44	$3,311.31	$7,413.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Professional		$245.47	$245.47	$295.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,089.30 / $2,089.30	Facility		$190.55	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,862.09 / $2,344.23	Facility		$363.08	$1,862.09	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $457.09	Professional		$208.93	$281.84	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $1,819.70	Professional		$1,584.89	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $3,548.13	Facility		$204.17	$288.40	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $588.84	Professional		$204.17	$251.19	$588.84
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 $229.09 / $389.05 / $549.54	Professional		$229.09	$389.05	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $467.74	Facility		$204.17	$269.15	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $501.19	Professional		$204.17	$288.40	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $8,511.38	Facility		$1,288.25	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $346.74	Professional		$169.82	$229.09	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $234.42	Professional		$165.96	$199.53	$234.42