Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $4,677.35	Facility		$588.84	$1,479.11	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,096.48	Professional		$436.52	$724.44	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $512.86 / $1,230.27	Professional		$5.01	$512.86	$1,230.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,445.44	Professional		$630.96	$891.25	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $891.25 / $891.25	Facility		$79.43	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $724.44 / $3,801.89	Facility		$177.83	$724.44	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $912.01 / $1,621.81	Professional		$457.09	$912.01	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,760.83 / $6,760.83	Professional		$4,466.84	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $1,621.81	Facility		$446.68	$870.96	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $724.44 / $1,122.02	Professional		$7.94	$724.44	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,905.46	Professional		$891.25	$977.24	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $891.25 / $2,041.74	Facility		$446.68	$891.25	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $1,548.82	Professional		$457.09	$851.14	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $891.25	Facility		$323.59	$489.78	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $812.83	Professional		$380.19	$380.19	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $891.25 / $891.25	Professional		$346.74	$891.25	$891.25