Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.90 / $2,550.00 / $6,691.00	Facility		$455.90	$2,550.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.05 / $391.62 / $670.81	Professional		$283.05	$391.62	$670.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.22 / $411.22 / $411.22	Professional		$411.22	$411.22	$411.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.42 / $2,143.37 / $4,421.54	Facility		$1,230.42	$2,143.37	$4,421.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.41 / $403.22 / $590.41	Professional		$284.41	$403.22	$590.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $356.80 / $1,716.27 / $4,478.63	Facility		$356.80	$1,716.27	$4,478.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $289.17 / $1,501.12 / $1,501.12	Facility		$289.17	$1,501.12	$1,501.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.41 / $522.41 / $522.41	Facility		$522.41	$522.41	$522.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.58 / $477.50 / $738.00	Professional		$328.58	$477.50	$738.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,132.16 / $11,500.00 / $16,394.00	Facility		$2,132.16	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,235.84 / $3,106.64 / $3,696.38	Professional		$2,235.84	$3,106.64	$3,696.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.24 / $440.67 / $676.35	Facility		$303.24	$440.67	$676.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.49 / $549.60 / $760.99	Professional		$388.49	$549.60	$760.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $386.40 / $499.83 / $714.24	Professional		$386.40	$499.83	$714.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.24 / $443.07 / $703.02	Facility		$303.24	$443.07	$703.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.89 / $501.07 / $812.94	Professional		$334.89	$501.07	$812.94
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.66 / $456.42 / $689.82	Professional		$334.66	$456.42	$689.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.82 / $406.27 / $570.82	Professional		$360.82	$406.27	$570.82