Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.67 / $3,186.00 / $10,789.00	Facility		$712.67	$3,186.00	$10,789.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.83 / $543.49 / $894.02	Professional		$357.83	$543.49	$894.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $413.38 / $561.05	Professional		$220.83	$413.38	$561.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,994.25 / $3,571.09 / $7,198.69	Facility		$1,994.25	$3,571.09	$7,198.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.96 / $542.82 / $769.78	Professional		$383.96	$542.82	$769.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $623.00 / $2,223.52 / $6,311.34	Facility		$623.00	$2,223.52	$6,311.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $536.26 / $782.93	Professional		$268.69	$536.26	$782.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $384.52 / $2,242.83 / $2,242.83	Facility		$384.52	$2,242.83	$2,242.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.96 / $713.96 / $713.96	Facility		$713.96	$713.96	$713.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.43 / $657.55 / $1,047.09	Professional		$438.43	$657.55	$1,047.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,903.40 / $11,500.00 / $26,542.00	Facility		$2,903.40	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $193.77 / $212.92 / $212.92	Facility	AS	$193.77	$212.92	$212.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,057.76 / $4,303.20 / $5,073.75	Professional		$3,057.76	$4,303.20	$5,073.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.12 / $599.89 / $981.86	Facility		$350.12	$599.89	$981.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.36 / $683.17 / $1,020.04	Professional		$407.36	$683.17	$1,020.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $882.80 / $1,659.00 / $6,094.00	Facility		$882.80	$1,659.00	$6,094.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $433.44 / $708.12 / $1,341.97	Professional		$433.44	$708.12	$1,341.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.77 / $599.89 / $951.75	Facility		$347.77	$599.89	$951.75
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $231.01 / $231.01 / $231.01	Facility	80	$231.01	$231.01	$231.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $196.36	Facility	AS	$71.40	$71.40	$196.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.47 / $690.32 / $1,147.09	Professional		$452.47	$690.32	$1,147.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.35 / $640.35 / $1,003.02	Professional		$477.35	$640.35	$1,003.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $497.47 / $561.05 / $787.59	Professional		$497.47	$561.05	$787.59