Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,890.45 / $12,302.69	Facility		$977.24	$3,890.45	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $776.25	Professional		$309.03	$407.38	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $524.81	Professional		$331.13	$457.09	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $7,762.47	Facility		$2,187.76	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $588.84	Professional		$309.03	$363.08	$588.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,090.30 / $7,244.36	Facility		$870.96	$3,090.30	$7,244.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $549.54	Professional		$275.42	$275.42	$549.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
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 $363.08 / $489.78 / $794.33	Professional		$363.08	$489.78	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $42,657.95 / $42,657.95	Facility		$9,549.93	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,715.35	Professional		$3,019.95	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $575.44 / $4,570.88	Facility		$363.08	$575.44	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $831.76	Professional		$331.13	$478.63	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $758.58 / $1,122.02	Professional		$3.98	$758.58	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $478.63 / $831.76	Facility		$346.74	$478.63	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $794.33	Professional		$371.54	$501.19	$794.33
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 $309.03 / $426.58 / $660.69	Professional		$309.03	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $446.68	Professional		$407.38	$446.68	$446.68