Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.95 / $1,981.00 / $6,762.00	Facility		$273.95	$1,981.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $148.25 / $301.14	Professional		$72.78	$148.25	$301.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $43.49 / $82.05	Professional		$38.97	$43.49	$82.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,084.34 / $2,086.35 / $4,213.88	Facility		$1,084.34	$2,086.35	$4,213.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $181.04 / $302.02	Professional		$80.13	$181.04	$302.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $406.00 / $1,521.37 / $4,100.00	Facility		$406.00	$1,521.37	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $45.13 / $55.39	Professional		$41.91	$45.13	$55.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $1,182.34 / $1,182.34	Facility		$75.44	$1,182.34	$1,182.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Facility		$147.60	$147.60	$147.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $173.29 / $351.34	Professional		$89.07	$173.29	$351.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $11,500.00 / $12,000.00	Facility		$418.95	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $850.70 / $1,637.60 / $1,902.08	Professional		$850.70	$1,637.60	$1,902.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $189.81 / $340.61	Facility		$83.86	$189.81	$340.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $252.95 / $395.93	Professional		$106.82	$252.95	$395.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $252.89 / $453.88	Professional		$92.33	$252.89	$453.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $189.81 / $348.71	Facility		$83.90	$189.81	$348.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $178.17 / $391.86	Professional		$91.31	$178.17	$391.86
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $215.96 / $367.64	Professional		$146.47	$215.96	$367.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.73 / $210.74 / $298.39	Professional		$187.73	$210.74	$298.39