Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $758.58 / $1,819.70	Facility		$295.12	$758.58	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $630.96	Professional		$251.19	$354.81	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $208.93 / $257.04	Professional		$12.02	$208.93	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,318.26 / $2,238.72	Facility		$457.09	$1,318.26	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $229.09 / $562.34	Professional		$5.01	$229.09	$562.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $2,511.89	Facility		$371.54	$630.96	$2,511.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $588.84	Professional		$295.12	$371.54	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $416.87	Facility		$186.21	$186.21	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $891.25 / $2,089.30	Facility		$371.54	$891.25	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $912.01	Professional		$234.42	$323.59	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $3,090.30	Professional		$2,187.76	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $446.68 / $1,318.26	Facility		$281.84	$446.68	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $630.96	Professional		$218.78	$338.84	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $416.87	Professional		$346.74	$346.74	$416.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $3,311.31	Facility		$2,344.23	$3,235.94	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $1,548.82	Facility		$309.03	$512.86	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $851.14	Professional		$234.42	$371.54	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $416.87	Facility		$151.36	$173.78	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $346.74	Professional		$173.78	$239.88	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $416.87	Professional		$346.74	$346.74	$416.87