Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.52 / $3,010.61 / $7,140.33	Facility		$514.52	$3,010.61	$7,140.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.41 / $337.55 / $579.40	Professional		$219.41	$337.55	$579.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $321.18 / $427.51	Professional		$109.76	$321.18	$427.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,626.93 / $2,816.76 / $5,863.83	Facility		$1,626.93	$2,816.76	$5,863.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $289.68 / $443.63	Professional		$204.27	$289.68	$443.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $356.80 / $887.89 / $2,250.00	Facility		$356.80	$887.89	$2,250.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $249.08 / $730.82	Professional		$229.18	$249.08	$730.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $213.00 / $213.00	Facility		$213.00	$213.00	$213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.59 / $396.00 / $721.30	Professional		$255.59	$396.00	$721.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.68 / $16,394.00 / $16,394.00	Facility		$1,172.68	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.48 / $3,041.38 / $3,132.62	Professional		$1,690.48	$3,041.38	$3,132.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.19 / $367.69 / $812.91	Facility		$228.19	$367.69	$812.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $293.93 / $420.55 / $582.82	Professional		$293.93	$420.55	$582.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $637.29 / $1,453.03 / $5,733.00	Facility		$637.29	$1,453.03	$5,733.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $590.90 / $590.90 / $590.90	Professional		$590.90	$590.90	$590.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.78 / $377.77 / $833.67	Facility		$229.78	$377.77	$833.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $410.30 / $747.53	Professional		$261.22	$410.30	$747.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,081.00 / $8,226.00	Facility		$1,284.00	$4,081.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $428.31 / $704.74	Professional		$297.95	$428.31	$704.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.35 / $311.83 / $438.49	Professional		$276.35	$311.83	$438.49