Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,754.23 / $7,585.78	Facility		$676.08	$2,754.23	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $398.11	Professional		$169.82	$223.87	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $275.42	Professional		$109.65	$181.97	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,762.47	Facility		$2,137.96	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $331.13	Professional		$173.78	$234.42	$331.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $416.87	Professional		$380.19	$380.19	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,019.95 / $3,019.95	Facility		$165.96	$3,019.95	$3,019.95
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 $190.55 / $263.03 / $436.52	Professional		$190.55	$263.03	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $28,840.32 / $28,840.32	Facility		$9,549.93	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $3,801.89	Facility		$190.55	$323.59	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $446.68	Professional		$177.83	$257.04	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $380.19 / $660.69	Professional		$3.02	$380.19	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $446.68	Facility		$177.83	$263.03	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $446.68	Professional		$190.55	$269.15	$446.68
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 $154.88 / $213.80 / $331.13	Professional		$154.88	$213.80	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $251.19	Professional		$234.42	$251.19	$251.19