Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.33 / $2,496.00 / $7,033.50	Facility		$380.33	$2,496.00	$7,033.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.02 / $352.92 / $514.98	Professional		$253.02	$352.92	$514.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $346.85 / $346.85	Professional		$346.85	$346.85	$346.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,994.25 / $3,663.85 / $7,003.05	Facility		$1,994.25	$3,663.85	$7,003.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.55 / $375.21 / $541.11	Professional		$266.55	$375.21	$541.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $961.52 / $2,250.00	Facility		$147.18	$961.52	$2,250.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $1,690.06 / $1,690.06	Facility		$248.93	$1,690.06	$1,690.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.67 / $420.36 / $659.49	Professional		$294.67	$420.36	$659.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,983.48 / $16,394.00 / $16,394.00	Facility		$1,983.48	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.60 / $2,919.12 / $3,432.45	Professional		$2,093.60	$2,919.12	$3,432.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.38 / $386.19 / $578.35	Facility		$273.38	$386.19	$578.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $353.79 / $526.44 / $734.61	Professional		$353.79	$526.44	$734.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $393.26 / $499.14	Professional		$260.08	$393.26	$499.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.38 / $389.43 / $584.14	Facility		$273.38	$389.43	$584.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.67 / $447.22 / $734.77	Professional		$309.67	$447.22	$734.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.60 / $420.80 / $639.62	Professional		$315.60	$420.80	$639.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $337.08 / $381.16 / $533.34	Professional		$337.08	$381.16	$533.34