Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,000.00 / $10,546.00	Facility		$714.00	$3,000.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.53 / $623.96 / $963.99	Professional		$484.53	$623.96	$963.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $639.88 / $664.23 / $664.23	Professional		$639.88	$664.23	$664.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,254.74 / $2,450.34 / $5,192.77	Facility		$1,254.74	$2,450.34	$5,192.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.64 / $665.41 / $950.51	Professional		$518.64	$665.41	$950.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $623.00 / $1,849.50 / $4,827.97	Facility		$623.00	$1,849.50	$4,827.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $381.55 / $652.22 / $983.68	Professional		$381.55	$652.22	$983.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $491.53 / $519.30 / $690.33	Facility		$491.53	$519.30	$690.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.45 / $751.55 / $1,155.35	Professional		$574.45	$751.55	$1,155.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,919.32 / $26,542.00 / $26,542.00	Facility		$3,919.32	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,135.35 / $5,111.20 / $5,970.68	Professional		$4,135.35	$5,111.20	$5,970.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.23 / $698.45 / $995.34	Facility		$531.23	$698.45	$995.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $688.98 / $946.36 / $1,281.50	Professional		$688.98	$946.36	$1,281.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.34 / $701.57 / $966.57	Professional		$538.34	$701.57	$966.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.23 / $698.45 / $1,025.34	Facility		$531.23	$698.45	$1,025.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.30 / $787.78 / $1,279.78	Professional		$596.30	$787.78	$1,279.78
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 $535.92 / $714.57 / $1,086.85	Professional		$535.92	$714.57	$1,086.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.02 / $663.56 / $928.98	Professional		$588.02	$663.56	$928.98