Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,311.31 / $8,317.64	Facility		$794.33	$3,311.31	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $645.65	Professional		$323.59	$389.05	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,073.80 / $7,762.47	Facility		$2,290.87	$4,073.80	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $588.84	Professional		$338.84	$426.58	$588.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $741.31	Professional		$354.81	$467.74	$741.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
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 $371.54 / $489.78 / $794.33	Professional		$371.54	$489.78	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $13,489.63 / $13,489.63	Facility		$9,549.93	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $3,162.28	Professional		$2,818.38	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $4,570.88	Facility		$354.81	$691.83	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $602.56	Professional		$338.84	$446.68	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $42.66	Professional		$32.36	$33.11	$42.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $724.44 / $954.99	Professional		$6.03	$724.44	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $851.14	Facility		$331.13	$478.63	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $776.25	Professional		$371.54	$501.19	$776.25
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 $302.00 / $407.38 / $645.65	Professional		$302.00	$407.38	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $346.74	Professional		$323.59	$346.74	$346.74