Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,884.03 / $8,317.64	Facility		$707.95	$2,884.03	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $758.58 / $1,380.38	Professional		$199.53	$758.58	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $338.84	Professional		$158.49	$239.88	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $4,677.35	Facility		$1,258.93	$2,454.71	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $575.44 / $1,000.00	Professional		$162.18	$575.44	$1,000.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $4,466.84	Facility		$1,258.93	$2,137.96	$4,466.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $436.52	Professional		$112.20	$223.87	$436.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $741.31	Facility		$3.63	$3.63	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,148.15 / $1,445.44	Facility		$346.74	$1,148.15	$1,445.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	53	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $1,659.59	Professional		$229.09	$478.63	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	52	$3,890.45	$3,890.45	$3,890.45
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	53	$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,760.83 / $6,760.83	Professional		$6,165.95	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $812.83 / $2,454.71	Facility		$199.53	$812.83	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $776.25 / $1,380.38	Professional		$199.53	$776.25	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,513.56 / $2,454.71	Professional		$190.55	$1,513.56	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $741.31 / $1,778.28	Facility		$204.17	$741.31	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $489.78 / $1,737.80	Professional		$218.78	$489.78	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $588.84 / $1,479.11	Professional		$190.55	$588.84	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $758.58 / $851.14	Professional		$154.88	$758.58	$851.14