Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,965.00 / $10,457.37	Facility		$488.00	$2,965.00	$10,457.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $201.88 / $376.40	Professional		$170.77	$201.88	$376.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $485.50	Professional		$183.00	$183.00	$485.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $400.00 / $400.00	Professional		$340.00	$400.00	$400.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $5,069.04 / $8,000.00	Facility		$2,600.00	$5,069.04	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $166.72 / $215.75 / $306.12	Professional		$166.72	$215.75	$306.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $238.87 / $238.87	Facility		$238.87	$238.87	$238.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $213.75 / $996.25	Professional		$171.00	$213.75	$996.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $473.89 / $967.31 / $1,054.26	Facility		$473.89	$967.31	$1,054.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.92 / $1,553.04 / $1,808.03	Professional		$1,509.92	$1,553.04	$1,808.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.06 / $241.18 / $411.41	Facility		$194.06	$241.18	$411.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.99 / $222.07 / $990.00	Professional		$199.99	$222.07	$990.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.09 / $639.30 / $809.59	Professional		$463.09	$639.30	$809.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.95 / $244.66 / $411.41	Facility		$187.95	$244.66	$411.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $270.44 / $996.25	Professional		$197.20	$270.44	$996.25
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $194.78 / $537.78	Professional		$138.44	$194.78	$537.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $219.25 / $299.54	Professional		$189.12	$219.25	$299.54