Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,128.00 / $6,000.00	Facility		$425.00	$2,128.00	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $306.18 / $522.99	Professional		$67.94	$306.18	$522.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $117.84 / $310.82	Professional		$117.84	$117.84	$310.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,565.00 / $3,989.00	Facility		$1,100.00	$1,565.00	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $287.19 / $593.92	Professional		$75.18	$287.19	$593.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $2,540.77 / $5,069.04	Facility		$80.83	$2,540.77	$5,069.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $241.53 / $241.53	Facility		$68.75	$241.53	$241.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $401.05 / $893.51	Professional		$94.15	$401.05	$893.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $613.65	Facility		$55.00	$55.00	$613.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.12 / $2,658.80 / $3,112.80	Professional		$1,376.12	$2,658.80	$3,112.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $285.91 / $789.02	Facility		$77.95	$285.91	$789.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $394.24 / $627.20	Professional		$101.35	$394.24	$627.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $329.04 / $692.49	Professional		$75.80	$329.04	$692.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $302.20 / $837.50	Facility		$77.95	$302.20	$837.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $408.64 / $917.68	Professional		$95.56	$408.64	$917.68
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.40 / $568.75 / $916.13	Professional		$406.40	$568.75	$916.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.88 / $341.57 / $486.61	Professional		$305.88	$341.57	$486.61