Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.25 / $2,317.00 / $12,218.00	Facility		$421.25	$2,317.00	$12,218.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.21 / $116.59 / $185.17	Professional		$99.21	$116.59	$185.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $232.00	Professional		$232.00	$232.00	$232.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $9,631.00 / $19,343.00	Facility		$1,845.00	$9,631.00	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $265.62 / $265.62	Professional		$225.78	$265.62	$265.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $515.36 / $3,700.30 / $8,000.00	Facility		$515.36	$3,700.30	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $123.05 / $295.00	Professional		$115.71	$123.05	$295.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $215.20 / $215.20	Facility		$215.20	$215.20	$215.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $131.69	Facility		$131.69	$131.69	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $157.50 / $247.46	Professional		$115.48	$157.50	$247.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $2,000.00	Facility		$55.00	$1,300.00	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.59 / $1,634.59 / $1,634.59	Professional		$1,634.59	$1,634.59	$1,634.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.42 / $141.85 / $227.35	Facility		$106.42	$141.85	$227.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $152.85 / $225.00	Professional		$127.95	$152.85	$225.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $351.40 / $351.40 / $351.40	Professional		$351.40	$351.40	$351.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $142.32 / $231.33	Facility		$107.24	$142.32	$231.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $159.99 / $247.86	Professional		$117.38	$159.99	$247.86
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $129.01 / $201.82	Professional		$96.32	$129.01	$201.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $141.38 / $190.86	Professional		$141.38	$141.38	$190.86