Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.56 / $1,416.39 / $3,606.98	Facility		$508.56	$1,416.39	$3,606.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $570.79 / $786.45	Professional		$500.00	$570.79	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.52 / $379.53 / $455.43	Professional		$253.52	$379.53	$455.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $2,086.06 / $3,977.42	Facility		$759.05	$2,086.06	$3,977.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $402.30 / $1,062.67	Professional		$5.00	$402.30	$1,062.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $683.15 / $834.96 / $3,355.02	Facility		$683.15	$834.96	$3,355.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $759.05 / $1,290.69	Professional		$531.34	$759.05	$1,290.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $673.96 / $759.05 / $795.00	Facility		$673.96	$759.05	$795.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.40 / $1,509.74 / $3,359.84	Facility		$530.40	$1,509.74	$3,359.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.07 / $612.95 / $1,171.38	Professional		$387.07	$612.95	$1,171.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.48 / $3,605.49 / $3,605.49	Facility		$1,214.48	$3,605.49	$3,605.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,795.25 / $3,795.25 / $5,692.88	Professional		$3,795.25	$3,795.25	$5,692.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.82 / $759.05 / $910.86	Facility		$552.82	$759.05	$910.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $736.28 / $759.05 / $948.81	Professional		$736.28	$759.05	$948.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $783.43 / $1,072.15 / $2,015.09	Facility		$783.43	$1,072.15	$2,015.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $910.86 / $1,707.86	Professional		$493.38	$910.86	$1,707.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.82 / $759.05 / $1,657.76	Facility		$552.82	$759.05	$1,657.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.07 / $795.00 / $1,200.00	Professional		$387.07	$795.00	$1,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $336.98 / $481.40	Professional		$318.80	$336.98	$481.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $500.00 / $759.05	Professional		$296.02	$500.00	$759.05