Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,511.89 / $7,413.10	Facility		$602.56	$2,511.89	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $2,344.23 / $3,981.07	Professional		$154.88	$2,344.23	$3,981.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $2,570.40 / $3,235.94	Professional		$117.49	$2,570.40	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,317.64 / $16,595.87	Facility		$4,897.79	$8,317.64	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $2,041.74 / $3,467.37	Professional		$162.18	$2,041.74	$3,467.37
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $5,011.87 / $8,317.64	Facility		$165.96	$5,011.87	$8,317.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $204.17	Professional		$186.21	$204.17	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $2,344.23 / $5,370.32	Professional		$190.55	$2,344.23	$5,370.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,988.33	Facility		$54.95	$56.23	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $21,877.62 / $21,877.62	Professional		$18,620.87	$21,877.62	$21,877.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,290.87 / $6,025.60	Facility		$229.09	$2,290.87	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $2,344.23 / $4,570.88	Professional		$158.49	$2,344.23	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,041.74	Professional		$32.36	$33.11	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7,943.28	Professional		$5.01	$5.01	$7,943.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,089.30 / $4,677.35	Facility		$158.49	$2,089.30	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $2,290.87 / $5,248.07	Professional		$186.21	$2,290.87	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,698.24 / $5,128.61	Professional		$165.96	$1,698.24	$5,128.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $2,570.40	Professional		$2,454.71	$2,570.40	$2,570.40