Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $11,481.54	Facility		$812.83	$3,548.13	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $1,047.13	Professional		$371.54	$489.78	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $562.34	Professional		$338.84	$426.58	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,760.83 / $12,589.25	Facility		$3,162.28	$6,760.83	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Professional		$316.23	$371.54	$588.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,754.23 / $6,918.31	Facility		$380.19	$2,754.23	$6,918.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $851.14	Professional		$776.25	$776.25	$851.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $4,168.69 / $4,168.69	Facility		$338.84	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $954.99	Professional		$398.11	$537.03	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $45,708.82 / $45,708.82	Facility		$14,454.40	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $870.96 / $5,248.07	Facility		$380.19	$870.96	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $977.24	Professional		$371.54	$512.86	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $812.83 / $1,288.25	Professional		$5.01	$812.83	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $1,096.48	Facility		$371.54	$602.56	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $912.01	Professional		$389.05	$537.03	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $758.58	Professional		$323.59	$478.63	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $354.81	Professional		$338.84	$354.81	$354.81