Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $1,202.26	Facility		$630.96	$812.83	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,995.26	Professional		$630.96	$977.24	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,288.25	Professional		$794.33	$1,000.00	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $3,162.28	Facility		$660.69	$1,096.48	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,288.25	Professional		$645.65	$912.01	$1,288.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,698.24	Professional		$870.96	$870.96	$1,698.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,548.82 / $1,548.82	Facility		$707.95	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,659.59	Professional		$724.44	$1,000.00	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $8,912.51	Professional		$7,244.36	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,698.24	Facility		$660.69	$1,000.00	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,905.46	Professional		$660.69	$1,047.13	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,570.40	Professional		$1,202.26	$1,778.28	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,737.80	Facility		$660.69	$954.99	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,698.24	Professional		$707.95	$1,023.29	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,344.23 / $10,232.93	Facility		$436.52	$2,344.23	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,288.25	Professional		$562.34	$812.83	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,096.48	Professional		$1,023.29	$1,096.48	$1,096.48