Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.70 / $2,754.00 / $8,590.00	Facility		$380.70	$2,754.00	$8,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $351.84 / $564.45	Professional		$222.93	$351.84	$564.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.64 / $235.36 / $393.29	Professional		$196.64	$235.36	$393.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.62 / $780.32 / $1,708.70	Facility		$397.62	$780.32	$1,708.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.26 / $391.83 / $578.92	Professional		$255.26	$391.83	$578.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $517.25 / $674.43 / $2,746.76	Facility		$517.25	$674.43	$2,746.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $274.39 / $634.45	Professional		$151.09	$274.39	$634.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $228.82 / $382.49 / $402.86	Facility		$228.82	$382.49	$402.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $448.61 / $682.31	Professional		$307.64	$448.61	$682.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.36 / $26,542.00 / $26,542.00	Facility		$1,902.36	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.60 / $5,940.86 / $5,940.86	Professional		$2,017.60	$5,940.86	$5,940.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $393.29 / $595.16	Facility		$260.79	$393.29	$595.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $475.94 / $724.93	Professional		$256.50	$475.94	$724.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $383.02 / $489.64	Professional		$235.88	$383.02	$489.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $393.29 / $597.00	Facility		$260.79	$393.29	$597.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.89 / $471.94 / $752.50	Professional		$319.89	$471.94	$752.50
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,132.00 / $2,827.00	Facility		$161.00	$1,132.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.33 / $437.77 / $649.16	Professional		$328.33	$437.77	$649.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $393.29 / $550.61	Professional		$348.39	$393.29	$550.61