Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.85 / $822.19 / $1,265.08	Facility		$633.85	$822.19	$1,265.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.08 / $812.59 / $1,605.70	Professional		$615.08	$812.59	$1,605.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $728.80 / $885.56 / $1,224.29	Professional		$728.80	$885.56	$1,224.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.20 / $902.34 / $1,344.81	Professional		$638.20	$902.34	$1,344.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,119.11 / $1,119.11 / $1,119.11	Professional		$1,119.11	$1,119.11	$1,119.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $703.36 / $1,566.45 / $1,566.45	Facility		$703.36	$1,566.45	$1,566.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.57 / $1,012.07 / $1,547.09	Professional		$734.57	$1,012.07	$1,547.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,745.00	Facility		$55.00	$55.00	$3,745.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,544.32 / $7,247.84 / $8,904.68	Professional		$5,544.32	$7,247.84	$8,904.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.24 / $961.34 / $1,771.58	Facility		$645.24	$961.34	$1,771.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.42 / $1,305.67 / $1,757.63	Professional		$1,005.42	$1,305.67	$1,757.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.90 / $1,138.90 / $1,138.90	Professional		$1,138.90	$1,138.90	$1,138.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.24 / $970.45 / $1,839.38	Facility		$645.24	$970.45	$1,839.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $754.90 / $1,061.23 / $1,773.82	Professional		$754.90	$1,061.23	$1,773.82
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.77 / $954.37 / $1,445.41	Professional		$688.77	$954.37	$1,445.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $857.19 / $973.15 / $1,345.34	Professional		$857.19	$973.15	$1,345.34