Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $6,918.31	Facility		$707.95	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $676.08	Professional		$134.90	$346.74	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $257.04	Professional		$74.13	$125.89	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $5,754.40	Facility		$1,698.24	$2,884.03	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $524.81	Professional		$131.83	$302.00	$524.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $4,466.84	Facility		$707.95	$2,238.72	$4,466.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $363.08	Professional		$331.13	$331.13	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,737.80 / $1,737.80	Facility		$125.89	$1,737.80	$1,737.80
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 $154.88 / $354.81 / $707.95	Professional		$154.88	$354.81	$707.95
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 $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $512.86 / $3,890.45	Facility		$147.91	$512.86	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $380.19 / $676.08	Professional		$138.04	$380.19	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $741.31 / $1,047.13	Professional		$3.02	$741.31	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $354.81 / $831.76	Facility		$138.04	$354.81	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $363.08 / $707.95	Professional		$151.36	$363.08	$707.95
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 $128.82 / $288.40 / $645.65	Professional		$128.82	$288.40	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $354.81	Professional		$338.84	$354.81	$354.81