Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,659.59	Professional		$707.95	$891.25	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,258.93	Professional		$758.58	$933.25	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,943.28	Facility		$2,137.96	$3,981.07	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,348.96	Professional		$660.69	$794.33	$1,348.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,819.70	Professional		$851.14	$1,148.15	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,943.28 / $7,943.28	Professional		$6,309.57	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $4,677.35	Facility		$812.83	$1,318.26	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,778.28	Professional		$724.44	$1,122.02	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,778.28 / $2,238.72	Professional		$5.01	$1,778.28	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,089.30	Facility		$794.33	$1,122.02	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,778.28	Professional		$831.76	$1,174.90	$1,778.28
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 $758.58 / $1,000.00 / $1,548.82	Professional		$758.58	$1,000.00	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $891.25	Professional		$794.33	$891.25	$891.25