Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.67 / $2,396.00 / $6,940.00	Facility		$351.67	$2,396.00	$6,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $318.93 / $490.09	Professional		$208.25	$318.93	$490.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $189.96 / $189.96	Professional		$189.96	$189.96	$189.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.17 / $508.02 / $1,100.00	Facility		$281.17	$508.02	$1,100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $360.43 / $519.80	Professional		$221.00	$360.43	$519.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $272.13 / $1,073.28	Facility		$136.25	$272.13	$1,073.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.95 / $249.60 / $397.10	Facility		$218.95	$249.60	$397.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.07 / $393.45 / $582.69	Professional		$255.07	$393.45	$582.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.96 / $16,394.00 / $16,394.00	Facility		$1,653.96	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,741.12 / $2,786.08 / $3,293.03	Professional		$1,741.12	$2,786.08	$3,293.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.55 / $358.64 / $530.11	Facility		$226.55	$358.64	$530.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.16 / $472.26 / $697.97	Professional		$295.16	$472.26	$697.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $388.34 / $529.55	Professional		$242.00	$388.34	$529.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.55 / $358.64 / $533.20	Facility		$226.55	$358.64	$533.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.67 / $407.88 / $674.17	Professional		$258.67	$407.88	$674.17
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 $298.55 / $398.07 / $579.19	Professional		$298.55	$398.07	$579.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $363.03 / $508.24	Professional		$322.45	$363.03	$508.24