Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.68 / $2,444.00 / $7,316.00	Facility		$311.68	$2,444.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $286.08 / $419.66	Professional		$203.15	$286.08	$419.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $288.08 / $288.08	Professional		$288.08	$288.08	$288.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,262.79 / $2,182.42 / $4,454.97	Facility		$1,262.79	$2,182.42	$4,454.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.31 / $311.19 / $449.56	Professional		$217.31	$311.19	$449.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $229.40 / $1,133.25 / $4,500.00	Facility		$229.40	$1,133.25	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $151.76 / $235.40	Professional		$115.61	$151.76	$235.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $198.98 / $1,166.96 / $1,166.96	Facility		$198.98	$1,166.96	$1,166.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.55 / $348.52 / $519.70	Professional		$240.55	$348.52	$519.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,626.54 / $16,394.00 / $16,394.00	Facility		$1,626.54	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,721.28 / $2,429.92 / $2,834.55	Professional		$1,721.28	$2,429.92	$2,834.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.41 / $314.70 / $473.54	Facility		$223.41	$314.70	$473.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $430.18 / $608.87	Professional		$289.10	$430.18	$608.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $319.73 / $408.61	Professional		$207.90	$319.73	$408.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.41 / $315.60 / $479.01	Facility		$223.41	$315.60	$479.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $366.28 / $605.37	Professional		$248.00	$366.28	$605.37
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 $261.36 / $348.26 / $522.39	Professional		$261.36	$348.26	$522.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $315.60 / $441.84	Professional		$279.38	$315.60	$441.84