Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,467.37 / $10,964.78	Facility		$812.83	$3,467.37	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $645.65 / $1,230.27	Professional		$218.78	$645.65	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $354.81	Professional		$117.49	$208.93	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $5,128.61	Facility		$1,380.38	$2,511.89	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $512.86 / $891.25	Professional		$181.97	$512.86	$891.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,659.59 / $5,011.87	Facility		$323.59	$1,659.59	$5,011.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $524.81	Professional		$213.80	$302.00	$524.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,318.26 / $1,318.26	Facility		$199.53	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,513.56 / $1,949.84	Facility		$380.19	$1,513.56	$1,949.84
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	52	$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $512.86 / $1,230.27	Professional		$251.19	$512.86	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	52	$5,248.07	$5,248.07	$5,248.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,888.44 / $5,888.44	Professional		$5,011.87	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $831.76 / $4,073.80	Facility		$239.88	$831.76	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $645.65 / $1,348.96	Professional		$218.78	$645.65	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,348.96 / $2,041.74	Professional		$5.01	$1,348.96	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $676.08 / $1,348.96	Facility		$218.78	$676.08	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $524.81 / $1,318.26	Professional		$245.47	$524.81	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $524.81 / $1,071.52	Professional		$213.80	$524.81	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $758.58 / $870.96	Professional		$169.82	$758.58	$870.96