Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $12,882.50	Facility		$1,023.29	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,479.11	Professional		$645.65	$912.01	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $912.01	Professional		$562.34	$575.44	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $11,481.54	Facility		$3,235.94	$5,888.44	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $954.99	Professional		$478.63	$562.34	$954.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,388.44 / $5,495.41	Facility		$912.01	$3,388.44	$5,495.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,047.13	Professional		$602.56	$812.83	$1,047.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,897.79 / $4,897.79	Facility		$524.81	$4,897.79	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $1,819.70	Professional		$616.60	$1,148.15	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility	54	$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $5,128.61	Professional		$4,677.35	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,659.59 / $7,244.36	Facility		$616.60	$1,659.59	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,445.44	Professional		$676.08	$851.14	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,943.28 / $9,549.93	Facility		$3,388.44	$7,943.28	$9,549.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,659.59	Facility		$575.44	$831.76	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $1,778.28	Professional		$616.60	$1,148.15	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,489.63	Facility		$2,187.76	$6,606.93	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,584.89	Professional		$724.44	$1,023.29	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $549.54	Professional		$524.81	$549.54	$549.54