Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,951.21 / $7,585.78	Facility		$831.76	$2,951.21	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $3,890.45	Professional		$263.03	$562.34	$3,890.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $3,162.28	Professional		$223.87	$281.84	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,659.59 / $3,311.31	Facility		$933.25	$1,659.59	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,778.28 / $2,884.03	Professional		$245.47	$1,778.28	$2,884.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $4,365.16	Professional		$257.04	$416.87	$4,365.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $489.78 / $2,454.71	Facility		$239.88	$489.78	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $831.76 / $1,071.52	Facility		$457.09	$831.76	$1,071.52
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	22	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $660.69 / $4,265.80	Professional		$295.12	$660.69	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,079.46	Facility		$54.95	$56.23	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $19,498.45 / $19,498.45	Professional		$16,982.44	$19,498.45	$19,498.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,041.74 / $4,897.79	Facility		$269.15	$2,041.74	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $4,365.16	Professional		$263.03	$562.34	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,890.45	Facility		$2,511.89	$2,951.21	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $2,454.71 / $8,912.51	Professional		$257.04	$2,454.71	$8,912.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $812.83 / $4,570.88	Facility		$269.15	$812.83	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $660.69 / $4,570.88	Professional		$281.84	$660.69	$4,570.88
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 $257.04 / $524.81 / $3,630.78	Professional		$257.04	$524.81	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $2,511.89 / $2,884.03	Professional		$89.13	$2,511.89	$2,884.03