Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.47 / $2,483.42 / $7,008.00	Facility		$351.47	$2,483.42	$7,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.35 / $264.11 / $447.90	Professional		$182.35	$264.11	$447.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.84 / $213.01 / $298.60	Professional		$193.84	$213.01	$298.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,514.53 / $4,665.51 / $9,058.35	Facility		$2,514.53	$4,665.51	$9,058.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.61 / $308.92 / $514.77	Professional		$207.61	$308.92	$514.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,114.82 / $5,882.87	Facility		$425.00	$2,114.82	$5,882.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $298.60 / $402.26 / $552.41	Professional		$298.60	$402.26	$552.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $2,745.22 / $2,745.22	Facility		$210.60	$2,745.22	$2,745.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $2,207.78 / $2,207.78	Facility		$2,207.78	$2,207.78	$2,207.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.16 / $362.12 / $610.35	Professional		$246.16	$362.12	$610.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.27 / $16,394.00 / $16,394.00	Facility		$1,108.27	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,888.00 / $2,262.80 / $2,728.65	Professional		$1,888.00	$2,262.80	$2,728.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.59 / $337.87 / $612.02	Facility		$220.59	$337.87	$612.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $403.26 / $558.36	Professional		$285.52	$403.26	$558.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.07 / $370.15 / $717.79	Professional		$218.07	$370.15	$717.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.72 / $338.93 / $701.51	Facility		$220.72	$338.93	$701.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $376.92 / $663.93	Professional		$250.26	$376.92	$663.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.75 / $359.56 / $583.11	Professional		$267.75	$359.56	$583.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.75 / $298.60 / $417.73	Professional		$264.75	$298.60	$417.73