Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,570.40 / $6,918.31	Facility		$602.56	$2,570.40	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $549.54	Professional		$128.82	$275.42	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $154.88	Professional		$75.86	$134.90	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $5,888.44	Facility		$1,698.24	$2,951.21	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $389.05	Professional		$120.23	$239.88	$389.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,380.38 / $2,691.53	Facility		$213.80	$1,380.38	$2,691.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $288.40	Professional		$263.03	$263.03	$288.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,513.56 / $1,513.56	Facility		$117.49	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $489.78	Professional		$144.54	$275.42	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $28,840.32 / $28,840.32	Facility		$5,495.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,548.13	Professional		$2,398.83	$2,398.83	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $380.19 / $3,715.35	Facility		$144.54	$380.19	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $549.54	Professional		$131.83	$302.00	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $4,265.80	Facility		$3,388.44	$4,265.80	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $524.81 / $831.76	Professional		$3.02	$524.81	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $302.00 / $549.54	Facility		$134.90	$302.00	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $489.78	Professional		$141.25	$275.42	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $436.52	Professional		$123.03	$229.09	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $281.84	Professional		$269.15	$281.84	$281.84