Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,362.00 / $10,048.00	Facility		$748.00	$3,362.00	$10,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $453.23 / $857.12	Professional		$385.26	$453.23	$857.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.81 / $423.81 / $423.81	Professional		$423.81	$423.81	$423.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.43 / $3,663.85 / $7,142.18	Facility		$2,017.43	$3,663.85	$7,142.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.79 / $446.79 / $696.73	Professional		$359.79	$446.79	$696.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,849.50 / $2,899.55 / $8,000.00	Facility		$1,849.50	$2,899.55	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $418.92 / $446.12 / $840.51	Professional		$418.92	$446.12	$840.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $417.86 / $2,630.88 / $2,630.88	Facility		$417.86	$2,630.88	$2,630.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.09 / $509.09 / $509.09	Facility		$509.09	$509.09	$509.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $50.56 / $50.56 / $50.56	Facility	AS	$50.56	$50.56	$50.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.13 / $593.01 / $925.07	Professional		$450.13	$593.01	$925.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $100.78 / $646.16 / $646.16	Facility	AS	$100.78	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,220.48 / $3,288.48 / $3,883.28	Professional		$3,220.48	$3,288.48	$3,883.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.18 / $531.77 / $907.12	Facility		$415.18	$531.77	$907.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $552.30 / $662.78 / $821.84	Professional		$552.30	$662.78	$821.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $531.60 / $582.11 / $736.10	Professional		$531.60	$582.11	$736.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.70 / $547.94 / $927.08	Facility		$418.70	$547.94	$927.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $50.56 / $50.56 / $145.57	Facility	AS	$50.56	$50.56	$145.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.49 / $611.83 / $930.59	Professional		$456.49	$611.83	$930.59
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 $355.21 / $481.61 / $766.71	Professional		$355.21	$481.61	$766.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $377.11 / $428.56 / $593.29	Professional		$377.11	$428.56	$593.29