Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,017.00 / $6,283.95	Facility		$425.00	$2,017.00	$6,283.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $209.50 / $779.94	Professional		$160.44	$209.50	$779.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.09 / $207.09 / $207.09	Professional		$207.09	$207.09	$207.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,501.21 / $3,069.40 / $10,356.00	Facility		$1,501.21	$3,069.40	$10,356.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $242.19 / $337.62	Professional		$192.26	$242.19	$337.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $2,058.86 / $8,000.00	Facility		$187.00	$2,058.86	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $179.46 / $221.13	Facility		$179.46	$179.46	$221.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.11 / $268.74 / $393.49	Professional		$203.11	$268.74	$393.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,041.39	Facility		$55.00	$55.00	$1,041.39
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $383.65 / $778.71 / $833.11	Facility	52	$383.65	$778.71	$833.11
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $47.96 / $97.34 / $104.14	Facility	AS	$47.96	$97.34	$104.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.80 / $1,569.76 / $1,805.93	Professional		$1,534.80	$1,569.76	$1,805.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $232.27 / $319.41	Facility		$187.47	$232.27	$319.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.99 / $311.99 / $415.98	Professional		$207.99	$311.99	$415.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.69 / $227.24 / $307.68	Professional		$191.69	$227.24	$307.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.93 / $232.27 / $319.41	Facility		$184.93	$232.27	$319.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.33 / $286.14 / $433.02	Professional		$216.33	$286.14	$433.02
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 $172.26 / $228.19 / $346.38	Professional		$172.26	$228.19	$346.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $202.95 / $279.64	Professional		$177.51	$202.95	$279.64