Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.73 / $2,444.00 / $6,727.81	Facility		$412.73	$2,444.00	$6,727.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $389.72 / $592.15	Professional		$265.16	$389.72	$592.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $420.68 / $440.24	Professional		$400.00	$420.68	$440.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,262.79 / $2,182.42 / $4,406.05	Facility		$1,262.79	$2,182.42	$4,406.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.95 / $400.01 / $570.84	Professional		$280.95	$400.01	$570.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $1,310.32 / $3,823.20	Facility		$588.72	$1,310.32	$3,823.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $420.68 / $501.58 / $715.16	Professional		$420.68	$501.58	$715.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $269.56 / $1,182.34 / $1,182.34	Facility		$269.56	$1,182.34	$1,182.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $458.08 / $689.52	Professional		$305.10	$458.08	$689.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,559.76 / $16,394.00 / $16,394.00	Facility		$1,559.76	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,271.76 / $3,221.36 / $3,791.10	Professional		$2,271.76	$3,221.36	$3,791.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.75 / $417.46 / $623.37	Facility		$286.75	$417.46	$623.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $360.82 / $571.55 / $811.02	Professional		$360.82	$571.55	$811.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.64 / $434.14 / $545.20	Professional		$281.64	$434.14	$545.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.86 / $417.46 / $629.95	Facility		$284.86	$417.46	$629.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.16 / $481.74 / $810.52	Professional		$321.16	$481.74	$810.52
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.21 / $462.31 / $687.45	Professional		$347.21	$462.31	$687.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $372.14 / $420.68 / $588.82	Professional		$372.14	$420.68	$588.82