Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,235.94 / $6,918.31	Facility		$776.25	$3,235.94	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,096.48	Professional		$446.68	$537.03	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $870.96	Professional		$245.47	$446.68	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $10,232.93	Facility		$2,754.23	$4,897.79	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $724.44	Professional		$380.19	$446.68	$724.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,801.89 / $7,585.78	Facility		$549.54	$3,801.89	$7,585.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,023.29	Professional		$933.25	$933.25	$1,023.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,090.30 / $3,090.30	Facility		$407.38	$3,090.30	$3,090.30
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 $467.74 / $630.96 / $1,023.29	Professional		$467.74	$630.96	$1,023.29
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 $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $912.01 / $4,677.35	Facility		$457.09	$912.01	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,071.52	Professional		$457.09	$588.84	$1,071.52
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 / $977.24 / $1,148.15	Professional		$3.02	$977.24	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,096.48	Facility		$436.52	$630.96	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,000.00	Professional		$467.74	$630.96	$1,000.00
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 $398.11 / $537.03 / $831.76	Professional		$398.11	$537.03	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $426.58	Professional		$407.38	$426.58	$426.58