Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $1,899.00 / $6,691.00	Facility		$405.00	$1,899.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $352.36 / $760.80	Professional		$166.37	$352.36	$760.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.12 / $383.26 / $594.04	Professional		$365.12	$383.26	$594.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $1,018.00 / $3,989.00	Facility		$194.90	$1,018.00	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $303.97 / $525.67	Professional		$149.91	$303.97	$525.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $1,767.55 / $1,890.43	Facility		$184.44	$1,767.55	$1,890.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $411.73 / $632.36	Professional		$205.22	$411.73	$632.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $397.24 / $397.24	Facility		$150.90	$397.24	$397.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $386.13 / $630.96	Professional		$195.52	$386.13	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $932.33	Facility		$55.00	$55.00	$932.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.52 / $2,973.60 / $3,454.20	Professional		$1,551.52	$2,973.60	$3,454.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.75 / $351.82 / $550.84	Facility		$177.75	$351.82	$550.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.86 / $541.69 / $776.36	Professional		$255.86	$541.69	$776.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $344.93 / $478.06	Professional		$153.93	$344.93	$478.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.75 / $355.62 / $555.46	Facility		$177.75	$355.62	$555.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.30 / $400.49 / $679.82	Professional		$205.30	$400.49	$679.82
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 $305.86 / $407.81 / $625.58	Professional		$305.86	$407.81	$625.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.94 / $383.25 / $536.54	Professional		$340.94	$383.25	$536.54