Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,444.00 / $10,893.00	Facility		$405.00	$2,444.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $145.72 / $250.60	Professional		$124.35	$145.72	$250.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $140.66 / $256.82	Professional		$121.69	$140.66	$256.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $162.76 / $228.29	Professional		$131.44	$162.76	$228.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $4,527.43 / $8,000.00	Facility		$139.66	$4,527.43	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $194.52 / $252.75	Professional		$150.28	$194.52	$252.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.59 / $138.10 / $138.10	Facility		$121.59	$138.10	$138.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $163.66	Facility		$163.66	$163.66	$163.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $194.32 / $298.95	Professional		$145.11	$194.32	$298.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $696.49	Facility		$55.00	$55.00	$696.49
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $32.08 / $65.55 / $69.65	Facility	AS	$32.08	$65.55	$69.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.28 / $1,902.24 / $1,902.24	Professional		$1,264.28	$1,902.24	$1,902.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.04 / $177.61 / $304.66	Facility		$135.04	$177.61	$304.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.07 / $196.08 / $260.51	Professional		$161.07	$196.08	$260.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $185.09 / $276.14	Professional		$146.18	$185.09	$276.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.02 / $177.63 / $304.66	Facility		$136.02	$177.63	$304.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $54.99 / $54.99 / $54.99	Facility	80	$54.99	$54.99	$54.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $46.74	Facility	AS	$16.03	$16.03	$46.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $203.03 / $306.33	Professional		$146.91	$203.03	$306.33
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 $117.44 / $159.11 / $250.20	Professional		$117.44	$159.11	$250.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $136.62 / $187.95	Professional		$119.54	$136.62	$187.95