Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $2,098.00 / $6,000.00	Facility		$336.00	$2,098.00	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $263.14 / $453.00	Professional		$171.58	$263.14	$453.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.26 / $240.65 / $329.14	Professional		$155.26	$240.65	$329.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.72 / $508.02 / $1,111.89	Facility		$279.72	$508.02	$1,111.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $309.33 / $446.12	Professional		$188.73	$309.33	$446.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $198.63 / $404.77 / $2,608.19	Facility		$198.63	$404.77	$2,608.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $242.95 / $463.53	Professional		$131.19	$242.95	$463.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $176.06 / $198.63 / $320.23	Facility		$176.06	$198.63	$320.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.35 / $340.02 / $497.88	Professional		$217.35	$340.02	$497.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,410.18 / $16,394.00 / $16,394.00	Facility		$1,410.18	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.72 / $2,399.36 / $2,799.45	Professional		$1,492.72	$2,399.36	$2,799.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.79 / $295.85 / $440.41	Facility		$192.79	$295.85	$440.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $400.44 / $600.20	Professional		$250.28	$400.44	$600.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $310.51 / $388.98	Professional		$183.95	$310.51	$388.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.79 / $295.85 / $446.12	Facility		$192.79	$295.85	$446.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.51 / $352.49 / $567.55	Professional		$229.51	$352.49	$567.55
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.25 / $333.27 / $474.98	Professional		$247.25	$333.27	$474.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $310.51 / $434.71	Professional		$275.79	$310.51	$434.71