Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.67 / $2,130.00 / $6,000.00	Facility		$428.67	$2,130.00	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.84 / $331.54 / $497.66	Professional		$228.84	$331.54	$497.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $367.09 / $367.09	Professional		$367.09	$367.09	$367.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.35 / $790.26 / $1,774.36	Facility		$442.35	$790.26	$1,774.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $328.45 / $502.68	Professional		$230.68	$328.45	$502.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $525.26 / $1,995.21	Facility		$200.00	$525.26	$1,995.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $224.91 / $285.38 / $391.13	Facility		$224.91	$285.38	$391.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.74 / $401.82 / $593.80	Professional		$266.74	$401.82	$593.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,775.40 / $16,394.00 / $16,394.00	Facility		$1,775.40	$16,394.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $118.23 / $127.70 / $127.70	Facility	AS	$118.23	$127.70	$127.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.56 / $2,824.64 / $3,286.43	Professional		$1,884.56	$2,824.64	$3,286.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.49 / $365.02 / $568.91	Facility		$244.49	$365.02	$568.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $502.42 / $706.93	Professional		$296.33	$502.42	$706.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $367.09 / $500.60	Professional		$246.17	$367.09	$500.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.49 / $365.02 / $570.00	Facility		$244.49	$365.02	$570.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $419.59 / $689.15	Professional		$276.45	$419.59	$689.15
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 $309.64 / $412.87 / $612.26	Professional		$309.64	$412.87	$612.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $324.38 / $367.09 / $513.91	Professional		$324.38	$367.09	$513.91