Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,572.00 / $7,668.42	Facility		$569.00	$2,572.00	$7,668.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.11 / $435.98 / $754.86	Professional		$333.11	$435.98	$754.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $472.13 / $472.13 / $472.13	Professional		$472.13	$472.13	$472.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.60 / $2,168.71 / $4,460.95	Facility		$1,221.60	$2,168.71	$4,460.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.10 / $469.05 / $713.58	Professional		$339.10	$469.05	$713.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $351.98 / $655.16 / $2,250.00	Facility		$351.98	$655.16	$2,250.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $250.74 / $281.98	Professional		$250.74	$250.74	$281.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $341.72 / $1,709.59 / $1,709.59	Facility		$341.72	$1,709.59	$1,709.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $620.91 / $620.91	Facility		$620.91	$620.91	$620.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.12 / $560.38 / $849.75	Professional		$387.12	$560.38	$849.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,522.76 / $11,500.00 / $16,394.00	Facility		$2,522.76	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,763.00 / $3,601.52 / $4,293.75	Professional		$2,763.00	$3,601.52	$4,293.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.53 / $513.33 / $810.82	Facility		$369.53	$513.33	$810.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.29 / $637.91 / $883.26	Professional		$469.29	$637.91	$883.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $402.38 / $551.63 / $1,128.33	Professional		$402.38	$551.63	$1,128.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.53 / $515.24 / $837.00	Facility		$369.53	$515.24	$837.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.36 / $584.83 / $952.56	Professional		$396.36	$584.83	$952.56
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,193.00 / $4,509.00	Facility		$600.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.92 / $509.22 / $787.76	Professional		$381.92	$509.22	$787.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $418.80 / $472.13 / $662.04	Professional		$418.80	$472.13	$662.04