Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,951.21 / $8,317.64	Facility		$831.76	$2,951.21	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,288.25	Professional		$549.54	$776.25	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $851.14	Professional		$467.74	$512.86	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $5,888.44	Facility		$1,698.24	$3,090.30	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,096.48	Professional		$501.19	$691.83	$1,096.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $5,128.61	Facility		$549.54	$1,819.70	$5,128.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $933.25	Professional		$588.84	$724.44	$933.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,819.70 / $1,819.70	Facility		$467.74	$1,819.70	$1,819.70
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 $562.34 / $794.33 / $1,202.26	Professional		$562.34	$794.33	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $28,840.32 / $28,840.32	Facility		$5,754.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $6,165.95	Professional		$5,370.32	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $870.96 / $3,801.89	Facility		$537.03	$870.96	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,348.96	Professional		$562.34	$794.33	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $245.47 / $1,348.96	Professional		$32.36	$245.47	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,230.27	Facility		$524.81	$794.33	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,202.26	Professional		$562.34	$794.33	$1,202.26
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 $478.63 / $660.69 / $977.24	Professional		$478.63	$660.69	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $758.58	Professional		$724.44	$758.58	$758.58