Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,801.89 / $12,882.50	Facility		$1,000.00	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $691.83	Professional		$181.97	$239.88	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,585.78	Facility		$2,137.96	$3,981.07	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $371.54	Professional		$213.80	$269.15	$371.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
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 $218.78 / $288.40 / $457.09	Professional		$218.78	$288.40	$457.09
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 $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $4,365.16	Facility		$213.80	$338.84	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $478.63	Professional		$194.98	$281.84	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $467.74 / $645.65	Professional		$3.98	$467.74	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $524.81	Facility		$199.53	$281.84	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $457.09	Professional		$218.78	$295.12	$457.09
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 $181.97 / $245.47 / $389.05	Professional		$181.97	$245.47	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $257.04	Professional		$234.42	$257.04	$257.04