Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.77 / $2,090.00 / $6,691.00	Facility		$142.77	$2,090.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $119.87 / $210.86	Professional		$55.59	$119.87	$210.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Professional		$45.37	$45.37	$45.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.90 / $2,143.37 / $4,213.88	Facility		$1,056.90	$2,143.37	$4,213.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $128.51 / $220.29	Professional		$63.43	$128.51	$220.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $193.21 / $242.37	Professional		$136.04	$193.21	$242.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $60.59 / $60.59	Facility		$60.59	$60.59	$60.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $157.57 / $255.04	Professional		$79.04	$157.57	$255.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.95 / $12,000.00 / $12,000.00	Facility		$323.95	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $1,037.83 / $1,242.30	Professional		$680.00	$1,037.83	$1,242.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $141.71 / $249.04	Facility		$65.81	$141.71	$249.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $155.85 / $255.02	Professional		$86.20	$155.85	$255.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $141.55 / $294.52	Professional		$65.53	$141.55	$294.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.86 / $144.47 / $265.47	Facility		$65.86	$144.47	$265.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $163.25 / $272.08	Professional		$80.08	$163.25	$272.08
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $169.91 / $269.94	Professional		$119.09	$169.91	$269.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $136.04 / $191.17	Professional		$120.92	$136.04	$191.17