Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,511.89 / $7,079.46	Facility		$489.78	$2,511.89	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $758.58	Professional		$144.54	$302.00	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $173.78 / $316.23	Professional		$66.07	$173.78	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $8,128.31	Facility		$2,187.76	$3,981.07	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $295.12 / $501.19	Professional		$144.54	$295.12	$501.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,819.70 / $4,073.80	Facility		$218.78	$1,819.70	$4,073.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,041.74 / $2,041.74	Facility		$131.83	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $4,570.88	Facility		$2,398.83	$4,570.88	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $562.34	Professional		$165.96	$323.59	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $19,498.45 / $19,498.45	Facility		$9,549.93	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	53	$1,905.46	$1,905.46	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $2,884.03	Professional		$2,454.71	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $407.38 / $4,073.80	Facility		$169.82	$407.38	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $616.60	Professional		$147.91	$316.23	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $616.60 / $1,000.00	Professional		$3.98	$616.60	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $316.23 / $602.56	Facility		$151.36	$316.23	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $588.84	Professional		$165.96	$331.13	$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 $151.36 / $263.03 / $457.09	Professional		$151.36	$263.03	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $331.13	Professional		$316.23	$331.13	$331.13