Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.05 / $1,623.69 / $2,876.61	Facility		$512.05	$1,623.69	$2,876.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.17 / $577.57 / $738.73	Professional		$455.17	$577.57	$738.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $536.91 / $577.32 / $591.12	Professional		$536.91	$577.32	$591.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.09 / $1,335.43 / $2,466.90	Facility		$568.09	$1,335.43	$2,466.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $202.67 / $238.43	Professional		$64.58	$202.67	$238.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $510.29 / $622.78 / $1,170.07	Facility		$510.29	$622.78	$1,170.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $661.67 / $661.67 / $661.67	Facility		$661.67	$661.67	$661.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.25 / $462.63 / $612.35	Facility		$442.25	$462.63	$612.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.72 / $735.28 / $1,102.92	Professional		$526.72	$735.28	$1,102.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.70 / $3,212.90 / $3,212.90	Facility		$1,285.70	$3,212.90	$3,212.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,792.87 / $3,792.87 / $5,181.83	Professional		$3,792.87	$3,792.87	$5,181.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $617.54 / $842.13	Facility		$510.00	$617.54	$842.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $577.32 / $577.32 / $647.79	Professional		$577.32	$577.32	$647.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $529.57 / $623.02 / $875.72	Professional		$529.57	$623.02	$875.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.49 / $614.20 / $878.31	Facility		$505.49	$614.20	$878.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.52 / $751.53 / $1,102.40	Professional		$540.52	$751.53	$1,102.40
United Facility/Professional Facility Modifier Low / Median / High Price $661.12 / $922.39 / $1,106.79	Facility		$661.12	$922.39	$1,106.79
United Facility/Professional Professional Modifier Low / Median / High Price $444.68 / $608.96 / $953.69	Professional		$444.68	$608.96	$953.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $647.79 / $677.88 / $874.52	Professional		$647.79	$677.88	$874.52