Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,019.95 / $6,918.31	Facility		$707.95	$3,019.95	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $851.14	Professional		$363.08	$489.78	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $758.58	Professional		$323.59	$363.08	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $6,025.60	Facility		$1,659.59	$3,090.30	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $660.69	Professional		$363.08	$457.09	$660.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,398.83 / $4,466.84	Facility		$707.95	$2,398.83	$4,466.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $660.69	Professional		$407.38	$489.78	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,659.59 / $1,659.59	Facility		$331.13	$1,659.59	$1,659.59
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 $389.05 / $524.81 / $812.83	Professional		$389.05	$524.81	$812.83
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 $3,162.28 / $3,630.78 / $3,630.78	Professional		$3,162.28	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $588.84 / $3,801.89	Facility		$389.05	$588.84	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $851.14	Professional		$389.05	$512.86	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $123.03 / $851.14	Professional		$32.36	$123.03	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $851.14	Facility		$380.19	$512.86	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $812.83	Professional		$389.05	$524.81	$812.83
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 $323.59 / $426.58 / $630.96	Professional		$323.59	$426.58	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $446.68	Professional		$426.58	$446.68	$446.68