Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.05 / $2,124.00 / $6,762.00	Facility		$327.05	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.96 / $246.87 / $378.43	Professional		$186.96	$246.87	$378.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $133.72 / $267.47	Professional		$121.70	$133.72	$267.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,154.98 / $4,213.88	Facility		$1,100.00	$2,154.98	$4,213.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.84 / $265.37 / $395.63	Professional		$206.84	$265.37	$395.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $277.54 / $334.34 / $481.45	Professional		$277.54	$334.34	$481.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.47 / $1,182.34 / $1,182.34	Facility		$195.47	$1,182.34	$1,182.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.65 / $306.13 / $465.30	Professional		$230.65	$306.13	$465.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,566.72 / $12,000.00 / $12,000.00	Facility		$1,566.72	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.00 / $2,054.80 / $2,403.08	Professional		$1,654.00	$2,054.80	$2,403.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.53 / $282.07 / $402.31	Facility		$212.53	$282.07	$402.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.43 / $378.88 / $515.61	Professional		$261.43	$378.88	$515.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.39 / $271.93 / $341.27	Professional		$203.39	$271.93	$341.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.53 / $283.39 / $416.31	Facility		$212.53	$283.39	$416.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $316.58 / $511.79	Professional		$237.46	$316.58	$511.79
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 $218.97 / $291.95 / $444.07	Professional		$218.97	$291.95	$444.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.59 / $267.47 / $374.46	Professional		$236.59	$267.47	$374.46