Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.02 / $2,816.00 / $8,883.00	Facility		$514.02	$2,816.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $340.01 / $548.13	Professional		$167.82	$340.01	$548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $111.04 / $163.08	Professional		$81.15	$111.04	$163.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,247.18 / $8,913.11 / $17,646.75	Facility		$4,247.18	$8,913.11	$17,646.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $307.42 / $500.55	Professional		$165.08	$307.42	$500.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $5,076.00 / $8,980.09	Facility		$625.00	$5,076.00	$8,980.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $213.54 / $307.49	Professional		$98.23	$213.54	$307.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $6,612.52 / $6,612.52	Facility		$157.50	$6,612.52	$6,612.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $305.94 / $305.94	Facility		$305.94	$305.94	$305.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.01 / $393.89 / $731.32	Professional		$202.01	$393.89	$731.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $837.80 / $11,500.00 / $26,542.00	Facility		$837.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $82.05 / $88.55 / $88.55	Facility	AS	$82.05	$88.55	$88.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.40 / $2,984.33 / $3,210.68	Professional		$1,453.40	$2,984.33	$3,210.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $410.28 / $758.03	Facility		$184.09	$410.28	$758.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.65 / $326.10 / $658.22	Professional		$205.65	$326.10	$658.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $417.02 / $826.82	Professional		$200.88	$417.02	$826.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.14 / $419.96 / $779.08	Facility		$184.14	$419.96	$779.08
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $151.47 / $151.47 / $151.47	Facility	80	$151.47	$151.47	$151.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $128.76	Facility	AS	$30.59	$30.59	$128.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.17 / $396.36 / $765.45	Professional		$202.17	$396.36	$765.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,600.00	Facility		$1,693.00	$5,210.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $443.50 / $748.30	Professional		$334.78	$443.50	$748.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $353.63 / $498.99	Professional		$314.72	$353.63	$498.99