Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,184.00 / $9,961.00	Facility		$747.00	$3,184.00	$9,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.60 / $412.16 / $728.61	Professional		$338.60	$412.16	$728.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $475.35 / $475.35 / $475.35	Professional		$475.35	$475.35	$475.35
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 $372.95 / $461.77 / $647.70	Professional		$372.95	$461.77	$647.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $1,111.76 / $5,069.04	Facility		$462.38	$1,111.76	$5,069.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $381.46 / $2,401.26 / $2,401.26	Facility		$381.46	$2,401.26	$2,401.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $462.38 / $462.38	Facility		$462.38	$462.38	$462.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $45.93	Facility	AS	$45.93	$45.93	$45.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $539.51 / $840.91	Professional		$407.74	$539.51	$840.91
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 $92.01 / $646.16 / $646.16	Facility	AS	$92.01	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,934.80 / $2,993.20 / $3,529.73	Professional		$2,934.80	$2,993.20	$3,529.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.85 / $482.90 / $823.37	Facility		$376.85	$482.90	$823.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.59 / $603.11 / $747.85	Professional		$502.59	$603.11	$747.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $447.23 / $677.90 / $735.09	Professional		$447.23	$677.90	$735.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.76 / $497.63 / $844.33	Facility		$380.76	$497.63	$844.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $132.25	Facility	AS	$45.93	$45.93	$132.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.16 / $556.96 / $848.96	Professional		$416.16	$556.96	$848.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,100.00 / $8,226.00	Facility		$1,391.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $439.86 / $692.38	Professional		$327.02	$439.86	$692.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.15 / $389.63 / $540.26	Professional		$343.15	$389.63	$540.26