Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $2,816.00 / $8,780.00	Facility		$521.16	$2,816.00	$8,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $346.17 / $550.41	Professional		$218.24	$346.17	$550.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $366.46 / $470.23	Professional		$183.23	$366.46	$470.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.44 / $790.26 / $1,757.52	Facility		$444.44	$790.26	$1,757.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.93 / $367.82 / $530.46	Professional		$225.93	$367.82	$530.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $303.67 / $1,407.50	Facility		$136.07	$303.67	$1,407.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $156.78 / $371.50 / $593.15	Professional		$156.78	$371.50	$593.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $205.59 / $239.92 / $373.15	Facility		$205.59	$239.92	$373.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.82 / $416.86 / $617.91	Professional		$269.82	$416.86	$617.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,242.51 / $26,542.00 / $26,542.00	Facility		$1,242.51	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.60 / $2,834.96 / $3,300.38	Professional		$1,787.60	$2,834.96	$3,300.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.67 / $364.90 / $548.05	Facility		$230.67	$364.90	$548.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $476.71 / $709.35	Professional		$244.03	$476.71	$709.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.60 / $355.97 / $457.12	Professional		$213.60	$355.97	$457.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.67 / $364.90 / $559.17	Facility		$230.67	$364.90	$559.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.73 / $432.34 / $700.92	Professional		$278.73	$432.34	$700.92
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $411.78 / $604.69	Professional		$308.83	$411.78	$604.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.49 / $366.46 / $513.04	Professional		$325.49	$366.46	$513.04