Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,102.00 / $9,897.00	Facility		$732.00	$3,102.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.02 / $442.02 / $750.58	Professional		$366.02	$442.02	$750.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.14 / $422.25 / $506.70	Professional		$401.14	$422.25	$506.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,997.01 / $3,640.66 / $7,003.05	Facility		$1,997.01	$3,640.66	$7,003.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.43 / $441.16 / $702.91	Professional		$354.43	$441.16	$702.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,849.50 / $3,127.54 / $8,000.00	Facility		$1,849.50	$3,127.54	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $211.13 / $281.27 / $390.58	Professional		$211.13	$281.27	$390.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $417.30 / $1,803.88 / $1,803.88	Facility		$417.30	$1,803.88	$1,803.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $590.37 / $905.73	Professional		$457.22	$590.37	$905.73
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 $98.93 / $646.16 / $646.16	Facility	AS	$98.93	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,165.12 / $3,228.96 / $3,835.13	Professional		$3,165.12	$3,228.96	$3,835.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.25 / $539.36 / $966.95	Facility		$422.25	$539.36	$966.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $565.99 / $666.13 / $783.68	Professional		$565.99	$666.13	$783.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $477.49 / $578.20 / $779.93	Professional		$477.49	$578.20	$779.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.25 / $562.11 / $991.65	Facility		$422.25	$562.11	$991.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $143.61 / $143.61 / $143.61	Facility	AS	$143.61	$143.61	$143.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.32 / $603.48 / $933.21	Professional		$459.32	$603.48	$933.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.21 / $493.09 / $768.39	Professional		$352.21	$493.09	$768.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.58 / $422.25 / $584.20	Professional		$371.58	$422.25	$584.20