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 / $6,918.31	Facility		$831.76	$2,951.21	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $562.34 / $1,071.52	Professional		$173.78	$562.34	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $758.58	Professional		$147.91	$165.96	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $6,025.60	Facility		$1,698.24	$2,951.21	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $562.34 / $977.24	Professional		$162.18	$562.34	$977.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,548.82	Professional		$1,445.44	$1,445.44	$1,548.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $537.03 / $1,202.26	Professional		$199.53	$537.03	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $831.76 / $3,981.07	Facility		$194.98	$831.76	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $691.83 / $1,318.26	Professional		$173.78	$691.83	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,479.11 / $2,089.30	Professional		$3.02	$1,479.11	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $588.84 / $1,698.24	Facility		$177.83	$588.84	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $489.78 / $1,288.25	Professional		$194.98	$489.78	$1,288.25
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 $165.96 / $501.19 / $1,230.27	Professional		$165.96	$501.19	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $724.44	Professional		$691.83	$724.44	$724.44