Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Facility		$436.52	$436.52	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $870.96	Professional		$398.11	$467.74	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,258.93	Professional		$588.84	$977.24	$1,258.93
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 $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $977.24	Professional		$588.84	$758.58	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $512.86	Professional		$371.54	$371.54	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $6,165.95	Professional		$5,248.07	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $1,230.27	Facility		$416.87	$758.58	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $933.25	Professional		$407.38	$489.78	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Professional		$575.44	$575.44	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $741.31 / $1,258.93	Facility		$416.87	$741.31	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $512.86	Professional		$371.54	$371.54	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $933.25	Facility		$251.19	$407.38	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $575.44	Professional		$338.84	$489.78	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00