Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,211.00 / $6,691.00	Facility		$569.00	$2,211.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.82 / $579.08 / $864.46	Professional		$312.82	$579.08	$864.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.57 / $635.60 / $808.51	Professional		$477.57	$635.60	$808.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $386.55 / $1,536.98	Facility		$228.88	$386.55	$1,536.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.33 / $543.97 / $865.63	Professional		$295.33	$543.97	$865.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $262.63 / $347.32 / $1,602.72	Facility		$262.63	$347.32	$1,602.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $429.03 / $1,016.96	Professional		$197.12	$429.03	$1,016.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $283.08 / $627.29 / $636.88	Facility		$283.08	$627.29	$636.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $652.24 / $1,054.36	Professional		$365.98	$652.24	$1,054.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,421.06	Facility		$55.00	$55.00	$2,421.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.76 / $4,929.52 / $5,706.00	Professional		$2,581.76	$4,929.52	$5,706.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.97 / $599.70 / $929.77	Facility		$333.97	$599.70	$929.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $476.24 / $869.39 / $1,269.95	Professional		$476.24	$869.39	$1,269.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.85 / $605.85 / $792.07	Professional		$288.85	$605.85	$792.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.97 / $605.94 / $941.84	Facility		$333.97	$605.94	$941.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.76 / $686.65 / $1,170.79	Professional		$385.76	$686.65	$1,170.79
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 $513.02 / $679.93 / $1,034.17	Professional		$513.02	$679.93	$1,034.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $564.28 / $635.60 / $889.84	Professional		$564.28	$635.60	$889.84