Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,862.09 / $3,388.44	Facility		$575.44	$1,862.09	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $758.58	Professional		$467.74	$575.44	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,148.15	Professional		$478.63	$630.96	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,348.96 / $2,454.71	Facility		$602.56	$1,348.96	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $204.17 / $239.88	Professional		$64.57	$204.17	$239.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $489.78 / $616.60	Facility		$446.68	$489.78	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,288.25	Professional		$524.81	$758.58	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $5,128.61	Professional		$3,801.89	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $1,148.15	Facility		$524.81	$645.65	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $707.95	Professional		$489.78	$575.44	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $707.95	Professional		$562.34	$616.60	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,174.90 / $1,412.54	Professional		$630.96	$1,174.90	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $1,071.52	Facility		$512.86	$630.96	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,174.90	Professional		$489.78	$758.58	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $588.84 / $776.25	Facility		$562.34	$588.84	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $977.24	Professional		$457.09	$616.60	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $812.83	Professional		$426.58	$645.65	$812.83