Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,022.64	Facility		$977.24	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $501.19	Professional		$245.47	$302.00	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $346.74	Professional		$239.88	$251.19	$346.74
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 $234.42 / $302.00 / $407.38	Professional		$234.42	$302.00	$407.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Professional		$524.81	$524.81	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,905.46 / $1,905.46	Facility		$229.09	$1,905.46	$1,905.46
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 $263.03 / $354.81 / $575.44	Professional		$263.03	$354.81	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $45,708.82 / $45,708.82	Facility		$5,495.41	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,884.03	Professional		$2,570.40	$2,570.40	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $616.60 / $5,370.32	Facility		$257.04	$616.60	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $630.96	Professional		$251.19	$323.59	$630.96
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 $3.02 / $549.54 / $707.95	Professional		$3.02	$549.54	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $676.08	Facility		$245.47	$354.81	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $549.54	Professional		$263.03	$354.81	$549.54
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 $218.78 / $302.00 / $467.74	Professional		$218.78	$302.00	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88