Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.28 / $2,080.00 / $5,906.00	Facility		$233.28	$2,080.00	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $202.02 / $333.35	Professional		$53.33	$202.02	$333.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $55.41 / $55.41	Professional		$55.41	$55.41	$55.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,168.71 / $4,277.00	Facility		$1,100.00	$2,168.71	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $172.10 / $287.12	Professional		$52.29	$172.10	$287.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $406.00 / $1,310.32 / $2,738.47	Facility		$406.00	$1,310.32	$2,738.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $1,182.25 / $1,182.25	Facility		$50.23	$1,182.25	$1,182.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $96.71 / $96.71	Facility		$96.71	$96.71	$96.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $139.03 / $394.56	Professional		$62.08	$139.03	$394.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $11,500.00 / $12,000.00	Facility		$390.65	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $793.24 / $1,601.68 / $1,792.35	Professional		$793.24	$1,601.68	$1,792.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $186.12 / $378.85	Facility		$57.80	$186.12	$378.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $242.07 / $371.47	Professional		$71.90	$242.07	$371.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $206.82 / $427.92	Professional		$61.86	$206.82	$427.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $186.12 / $382.62	Facility		$57.80	$186.12	$382.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $139.80 / $434.70	Professional		$63.67	$139.80	$434.70
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $248.63 / $403.89	Professional		$185.08	$248.63	$403.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $196.75 / $280.14	Professional		$176.13	$196.75	$280.14