Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $1,232.57 / $2,936.60	Facility		$733.67	$1,232.57	$2,936.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $741.00 / $1,007.54	Professional		$733.67	$741.00	$1,007.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $880.98	Professional		$733.67	$733.67	$880.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.37 / $1,479.04 / $2,921.85	Facility		$584.37	$1,479.04	$2,921.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.31 / $778.31 / $778.31	Professional		$778.31	$778.31	$778.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $501.51 / $1,078.99 / $2,680.77	Facility		$501.51	$1,078.99	$2,680.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $880.40 / $1,467.34	Professional		$383.32	$880.40	$1,467.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $859.00 / $859.00 / $859.00	Facility		$859.00	$859.00	$859.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $733.67 / $733.67	Facility		$692.14	$733.67	$733.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $733.67	Professional		$733.67	$733.67	$733.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,072.43 / $3,525.70 / $3,668.35	Facility		$1,072.43	$3,525.70	$3,668.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,104.06 / $3,104.06 / $3,104.06	Professional		$3,104.06	$3,104.06	$3,104.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.34 / $734.15 / $1,030.52	Facility		$208.34	$734.15	$1,030.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $693.27 / $748.34 / $1,210.56	Professional		$693.27	$748.34	$1,210.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $839.70 / $1,283.91	Professional		$424.00	$839.70	$1,283.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.87 / $733.67 / $1,058.51	Facility		$213.87	$733.67	$1,058.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $865.17	Professional		$733.67	$733.67	$865.17
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $777.69 / $816.73	Professional		$733.67	$777.69	$816.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $703.06 / $733.67 / $1,027.14	Professional		$703.06	$733.67	$1,027.14