Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,235.94 / $8,317.64	Facility		$933.25	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $3,235.94	Professional		$371.54	$812.83	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $2,290.87	Professional		$363.08	$602.56	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,332.54 / $18,620.87	Facility		$5,623.41	$9,332.54	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,584.89 / $2,754.23	Professional		$338.84	$1,584.89	$2,754.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $8,317.64 / $17,378.01	Facility		$407.38	$8,317.64	$17,378.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $3,801.89	Professional		$257.04	$416.87	$3,801.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,090.30 / $3,090.30	Facility		$371.54	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $3,090.30	Professional		$436.52	$831.76	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility	53	$5,754.40	$5,754.40	$5,754.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $18,620.87 / $18,620.87	Professional		$15,848.93	$18,620.87	$18,620.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,096.48 / $4,168.69	Facility		$407.38	$1,096.48	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,023.29 / $4,168.69	Professional		$389.05	$1,023.29	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $3,801.89	Professional		$524.81	$524.81	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $707.95 / $3,467.37	Facility		$398.11	$707.95	$3,467.37
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	53	$141.25	$141.25	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $3,388.44	Professional		$426.58	$831.76	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,585.78 / $44,668.36	Facility		$2,630.27	$7,585.78	$44,668.36
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,023.29 / $2,290.87	Professional		$363.08	$1,023.29	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $2,398.83	Professional		$2,290.87	$2,398.83	$2,398.83