Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $891.25	Professional		$371.54	$467.74	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $758.58	Professional		$436.52	$549.54	$758.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $691.83	Professional		$275.42	$275.42	$691.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,000.00	Professional		$457.09	$630.96	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,888.44	Facility		$54.95	$56.23	$5,888.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $4,168.69	Professional		$3,311.31	$4,168.69	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $4,073.80	Facility		$436.52	$707.95	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $851.14	Professional		$380.19	$549.54	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $954.99 / $1,174.90	Professional		$10.00	$954.99	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,071.52	Facility		$416.87	$630.96	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $977.24	Professional		$446.68	$630.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $851.14	Professional		$407.38	$549.54	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $457.09	Professional		$407.38	$457.09	$457.09