Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,467.37 / $12,022.64	Facility		$812.83	$3,467.37	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $794.33	Professional		$295.12	$467.74	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	50	$281.84	$281.84	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $6,165.95	Facility		$1,737.80	$3,090.30	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $691.83	Professional		$295.12	$446.68	$691.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $616.60	Professional		$309.03	$426.58	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $478.63	Facility		$269.15	$269.15	$478.63
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 $309.03 / $467.74 / $707.95	Professional		$309.03	$467.74	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $45,708.82 / $45,708.82	Facility		$5,754.40	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,890.45	Professional		$3,715.35	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $4,073.80	Facility		$309.03	$537.03	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $812.83	Professional		$309.03	$489.78	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $239.88 / $398.11	Professional		$32.36	$239.88	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $562.34	Professional		$295.12	$457.09	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $758.58	Facility		$295.12	$467.74	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $741.31	Professional		$309.03	$478.63	$741.31
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 $251.19 / $371.54 / $575.44	Professional		$251.19	$371.54	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $478.63	Professional		$457.09	$478.63	$478.63