Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $6,760.83	Facility		$707.95	$2,818.38	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $741.31	Professional		$239.88	$316.23	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $346.74	Professional		$223.87	$275.42	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $7,762.47	Facility		$2,089.30	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $407.38	Professional		$208.93	$275.42	$407.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,479.11 / $3,801.89	Facility		$295.12	$1,479.11	$3,801.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $478.63	Professional		$371.54	$371.54	$478.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,691.53 / $2,691.53	Facility		$223.87	$2,691.53	$2,691.53
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 $263.03 / $354.81 / $575.44	Professional		$263.03	$354.81	$575.44
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 $2,238.72 / $2,570.40 / $2,570.40	Professional		$2,238.72	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $478.63 / $4,365.16	Facility		$263.03	$478.63	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $616.60	Professional		$245.47	$346.74	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $5,623.41	Facility		$3,388.44	$5,370.32	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $524.81 / $794.33	Professional		$3.02	$524.81	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $346.74 / $630.96	Facility		$245.47	$346.74	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $588.84	Professional		$263.03	$363.08	$588.84
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 $208.93 / $295.12 / $457.09	Professional		$208.93	$295.12	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $309.03	Professional		$288.40	$309.03	$309.03