Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,466.84 / $11,748.98	Facility		$1,659.59	$4,466.84	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $676.08 / $3,388.44	Professional		$234.42	$676.08	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $436.52	Professional		$199.53	$239.88	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,918.31 / $13,489.63	Facility		$3,801.89	$6,918.31	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,445.44 / $2,454.71	Professional		$199.53	$1,445.44	$2,454.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,011.87 / $11,220.18	Facility		$851.14	$5,011.87	$11,220.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $354.81	Professional		$134.90	$177.83	$354.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,897.79 / $4,897.79	Facility		$213.80	$4,897.79	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $7,943.28	Facility		$3,162.28	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,288.25 / $3,311.31	Professional		$263.03	$1,288.25	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $50,118.72 / $50,118.72	Facility		$12,589.25	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $16,595.87 / $16,595.87	Professional		$14,454.40	$16,595.87	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,344.23 / $7,079.46	Facility		$288.40	$2,344.23	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,071.52 / $3,630.78	Professional		$239.88	$1,071.52	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3,890.45 / $6,165.95	Professional		$3.98	$3,890.45	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,380.38 / $3,715.35	Facility		$245.47	$1,380.38	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,174.90 / $3,311.31	Professional		$263.03	$1,174.90	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,202.26 / $2,818.38	Professional		$257.04	$1,202.26	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $1,995.26	Professional		$1,905.46	$1,995.26	$1,995.26