Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.58 / $2,444.00 / $6,153.00	Facility		$325.58	$2,444.00	$6,153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $267.26 / $437.48	Professional		$178.44	$267.26	$437.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.79 / $212.79 / $291.64	Professional		$212.79	$212.79	$291.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,084.34 / $2,100.08 / $4,653.10	Facility		$1,084.34	$2,100.08	$4,653.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.56 / $247.89 / $415.16	Professional		$178.56	$247.89	$415.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $566.63 / $1,716.27	Facility		$200.00	$566.63	$1,716.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $244.71 / $340.46 / $447.37	Professional		$244.71	$340.46	$447.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $657.36 / $657.36	Facility		$197.63	$657.36	$657.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $69.00 / $75.00	Facility		$69.00	$69.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $336.24 / $517.75	Professional		$229.39	$336.24	$517.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,779.61 / $16,394.00 / $16,394.00	Facility		$1,779.61	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.08 / $2,231.60 / $2,609.17	Professional		$1,616.08	$2,231.60	$2,609.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.18 / $310.14 / $459.26	Facility		$213.18	$310.14	$459.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.11 / $404.90 / $560.14	Professional		$272.11	$404.90	$560.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,467.21 / $1,467.21 / $4,491.00	Facility		$1,467.21	$1,467.21	$4,491.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.74 / $360.90 / $738.20	Professional		$221.74	$360.90	$738.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.18 / $310.11 / $465.00	Facility		$213.18	$310.11	$465.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.98 / $349.75 / $568.08	Professional		$241.98	$349.75	$568.08
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $323.36 / $501.75	Professional		$242.52	$323.36	$501.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $291.64 / $406.47	Professional		$257.02	$291.64	$406.47