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 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $416.87	Professional		$181.97	$208.93	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $7,762.47	Facility		$2,089.30	$4,168.69	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $309.03	Professional		$177.83	$223.87	$309.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $190.55	Facility		$177.83	$177.83	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,862.09 / $2,344.23	Facility		$338.84	$1,862.09	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $436.52	Professional		$190.55	$263.03	$436.52
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 $1,445.44 / $1,698.24 / $1,698.24	Professional		$1,445.44	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $1,862.09	Facility		$190.55	$263.03	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $389.05	Professional		$181.97	$213.80	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $512.86	Professional		$223.87	$354.81	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $426.58	Facility		$186.21	$251.19	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $478.63	Professional		$190.55	$269.15	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $8,511.38	Facility		$1,380.38	$3,981.07	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $316.23	Professional		$158.49	$208.93	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $218.78	Professional		$144.54	$186.21	$218.78