Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $12,022.64	Facility		$1,122.02	$4,168.69	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $2,041.74	Professional		$707.95	$891.25	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,047.13	Professional		$512.86	$758.58	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $12,882.50	Facility		$3,630.78	$6,606.93	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,122.02	Professional		$588.84	$691.83	$1,122.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,370.32 / $9,772.37	Facility		$501.19	$5,370.32	$9,772.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,445.44 / $1,584.89	Professional		$724.44	$1,445.44	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,168.69 / $4,168.69	Facility		$512.86	$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 $724.44 / $1,000.00 / $1,737.80	Professional		$724.44	$1,000.00	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $33,884.42 / $33,884.42	Facility		$14,454.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	52	$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $6,025.60	Professional		$5,248.07	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,548.82 / $6,918.31	Facility		$676.08	$1,548.82	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,819.70	Professional		$707.95	$870.96	$1,819.70
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 / $1,584.89 / $1,905.46	Professional		$5.01	$1,584.89	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,737.80	Facility		$602.56	$1,000.00	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,584.89	Professional		$707.95	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,348.96	Professional		$645.65	$851.14	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $549.54	Professional		$512.86	$549.54	$549.54