Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $1,096.48	Facility		$467.74	$478.63	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $933.25	Professional		$457.09	$562.34	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,071.52	Professional		$758.58	$1,000.00	$1,071.52
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 $501.19 / $501.19 / $616.60	Professional		$501.19	$501.19	$616.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $1,071.52	Professional		$741.31	$794.33	$1,071.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,071.52	Facility		$79.43	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $776.25	Professional		$562.34	$562.34	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $7,762.47	Professional		$6,606.93	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $1,479.11	Facility		$478.63	$933.25	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,202.26	Professional		$467.74	$602.56	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $562.34	Professional		$549.54	$549.54	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $851.14 / $1,548.82	Facility		$478.63	$851.14	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $776.25	Professional		$562.34	$562.34	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $1,202.26	Facility		$323.59	$524.81	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $741.31	Professional		$436.52	$630.96	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52