Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,562.00 / $7,495.00	Facility		$515.00	$2,562.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $339.66 / $498.17	Professional		$243.77	$339.66	$498.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.42 / $364.83 / $386.72	Professional		$182.42	$364.83	$386.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,224.57 / $2,182.42 / $4,653.10	Facility		$1,224.57	$2,182.42	$4,653.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.66 / $358.28 / $518.97	Professional		$258.66	$358.28	$518.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,310.32 / $4,544.72	Facility		$425.00	$1,310.32	$4,544.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $235.05 / $380.63	Facility		$235.05	$235.05	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $408.18 / $612.86	Professional		$285.39	$408.18	$612.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,925.64 / $16,394.00 / $16,394.00	Facility		$1,925.64	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,037.20 / $2,805.44 / $3,275.33	Professional		$2,037.20	$2,805.44	$3,275.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.45 / $376.31 / $563.60	Facility		$264.45	$376.31	$563.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.46 / $509.58 / $703.32	Professional		$342.46	$509.58	$703.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.58 / $376.19 / $473.82	Professional		$245.58	$376.19	$473.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.45 / $376.31 / $565.86	Facility		$264.45	$376.31	$565.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.85 / $429.09 / $708.23	Professional		$298.85	$429.09	$708.23
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 $303.27 / $403.48 / $605.22	Professional		$303.27	$403.48	$605.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.72 / $364.83 / $510.76	Professional		$322.72	$364.83	$510.76