Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,715.35 / $12,302.69	Facility		$870.96	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,148.15	Professional		$446.68	$676.08	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $645.65	Professional		$398.11	$446.68	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $6,025.60	Facility		$1,737.80	$3,090.30	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $831.76	Professional		$389.05	$537.03	$831.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $812.83	Professional		$489.78	$630.96	$812.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,621.81 / $1,621.81	Facility		$407.38	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,023.29	Professional		$478.63	$691.83	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $42,657.95 / $42,657.95	Facility		$5,754.40	$42,657.95	$42,657.95
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	54	$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $5,495.41	Professional		$4,786.30	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $4,677.35	Facility		$467.74	$794.33	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,202.26	Professional		$478.63	$691.83	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $125.89 / $1,096.48	Professional		$32.36	$125.89	$1,096.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,380.38	Professional		$436.52	$758.58	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,071.52	Facility		$446.68	$691.83	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,023.29	Professional		$489.78	$691.83	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $851.14	Professional		$407.38	$575.44	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $676.08	Professional		$645.65	$676.08	$676.08