Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.12 / $2,368.00 / $6,837.00	Facility		$412.12	$2,368.00	$6,837.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $345.83 / $618.29	Professional		$108.31	$345.83	$618.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $115.86	Professional		$115.86	$115.86	$115.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,272.84 / $2,127.53 / $4,337.42	Facility		$1,272.84	$2,127.53	$4,337.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $301.68 / $510.84	Professional		$117.88	$301.68	$510.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,576.15 / $4,500.00	Facility		$545.00	$1,576.15	$4,500.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $1,418.76 / $1,418.76	Facility		$111.68	$1,418.76	$1,418.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.44 / $219.44 / $219.44	Facility		$219.44	$219.44	$219.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $266.10 / $871.01	Professional		$133.63	$266.10	$871.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $612.24 / $11,500.00 / $16,394.00	Facility		$612.24	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $5,520.83 / $5,686.46	Professional		$1,385.32	$5,520.83	$5,686.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $342.96 / $1,089.60	Facility		$123.60	$342.96	$1,089.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $412.16 / $645.12	Professional		$161.88	$412.16	$645.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.99 / $407.19 / $740.34	Professional		$137.99	$407.19	$740.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.21 / $342.96 / $1,121.76	Facility		$124.21	$342.96	$1,121.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $273.39 / $871.01	Professional		$135.86	$273.39	$871.01
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 $363.94 / $530.14 / $905.42	Professional		$363.94	$530.14	$905.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.88 / $342.96 / $486.23	Professional		$305.88	$342.96	$486.23