Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.69 / $1,978.00 / $6,963.84	Facility		$314.69	$1,978.00	$6,963.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $314.68 / $521.21	Professional		$132.28	$314.68	$521.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.05 / $163.71 / $480.85	Professional		$134.05	$163.71	$480.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.47 / $2,182.42 / $4,503.00	Facility		$1,249.47	$2,182.42	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $255.23 / $458.38	Professional		$132.37	$255.23	$458.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $532.79 / $1,785.15 / $4,478.63	Facility		$532.79	$1,785.15	$4,478.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $323.74 / $408.89 / $579.25	Professional		$323.74	$408.89	$579.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $136.05 / $1,861.48 / $1,861.48	Facility		$136.05	$1,861.48	$1,861.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.41 / $244.41 / $244.41	Facility		$244.41	$244.41	$244.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.28 / $342.79 / $647.47	Professional		$159.28	$342.79	$647.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $683.92 / $11,500.00 / $12,000.00	Facility		$683.92	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.73 / $2,792.57 / $2,956.73	Professional		$1,317.73	$2,792.57	$2,956.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $330.21 / $653.17	Facility		$137.68	$330.21	$653.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $398.01 / $610.76	Professional		$182.29	$398.01	$610.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $342.51 / $679.80	Professional		$152.13	$342.51	$679.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $330.77 / $672.07	Facility		$138.19	$330.77	$672.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $345.44 / $692.35	Professional		$164.76	$345.44	$692.35
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 $304.02 / $400.02 / $632.78	Professional		$304.02	$400.02	$632.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $289.58 / $323.74 / $460.00	Professional		$289.58	$323.74	$460.00