Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,235.94 / $7,413.10	Facility		$794.33	$3,235.94	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $870.96 / $1,737.80	Professional		$194.98	$870.96	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $309.03 / $1,737.80	Professional		$93.33	$309.03	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $9,549.93	Facility		$2,630.27	$4,897.79	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $524.81 / $1,174.90	Professional		$181.97	$524.81	$1,174.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $8,128.31	Facility		$2,454.71	$4,570.88	$8,128.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $389.05	Professional		$93.33	$218.78	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,951.21 / $2,951.21	Facility		$177.83	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,238.72 / $2,818.38	Facility		$338.84	$2,238.72	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $794.33 / $2,344.23	Professional		$229.09	$794.33	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,549.93	Facility		$54.95	$56.23	$9,549.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,943.28 / $7,943.28	Professional		$7,762.47	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $954.99 / $2,818.38	Facility		$199.53	$954.99	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $912.01 / $1,698.24	Professional		$194.98	$912.01	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,398.83 / $3,548.13	Professional		$478.63	$2,398.83	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $851.14 / $2,238.72	Facility		$199.53	$851.14	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $691.83 / $2,398.83	Professional		$223.87	$691.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $10,964.78	Facility		$1,698.24	$5,011.87	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $676.08 / $2,089.30	Professional		$194.98	$676.08	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $933.25 / $1,023.29	Professional		$151.36	$933.25	$1,023.29