Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,019.95 / $7,943.28	Facility		$616.60	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $562.34	Professional		$194.98	$269.15	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $190.55	Professional		$117.49	$117.49	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $5,623.41	Facility		$1,659.59	$2,884.03	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $371.54	Professional		$186.21	$245.47	$371.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $851.14 / $2,238.72	Facility		$295.12	$851.14	$2,238.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $467.74	Professional		$371.54	$416.87	$467.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
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 $213.80 / $302.00 / $512.86	Professional		$213.80	$302.00	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $28,840.32 / $28,840.32	Facility		$5,495.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,137.96 / $2,137.96	Professional		$1,862.09	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $3,981.07	Facility		$204.17	$371.54	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $537.03	Professional		$199.53	$295.12	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $501.19 / $660.69	Professional		$3.02	$501.19	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $537.03	Facility		$190.55	$302.00	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $512.86	Professional		$213.80	$309.03	$512.86
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 $177.83 / $257.04 / $407.38	Professional		$177.83	$257.04	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $269.15	Professional		$257.04	$269.15	$269.15