Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.86 / $2,496.00 / $7,542.00	Facility		$523.86	$2,496.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $464.34 / $787.24	Professional		$298.70	$464.34	$787.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.49 / $317.49 / $640.84	Professional		$317.49	$317.49	$640.84
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 $308.16 / $496.17 / $709.28	Professional		$308.16	$496.17	$709.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $312.50 / $1,149.83 / $4,500.00	Facility		$312.50	$1,149.83	$4,500.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $311.49 / $1,398.47 / $1,398.47	Facility		$311.49	$1,398.47	$1,398.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.73 / $562.73 / $562.73	Facility		$562.73	$562.73	$562.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.88 / $540.27 / $864.61	Professional		$353.88	$540.27	$864.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,559.36 / $11,500.00 / $16,394.00	Facility		$1,559.36	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,407.76 / $3,777.20 / $4,495.50	Professional		$2,407.76	$3,777.20	$4,495.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.55 / $498.80 / $786.01	Facility		$309.55	$498.80	$786.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.82 / $610.67 / $925.18	Professional		$426.82	$610.67	$925.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $444.44 / $598.70 / $959.36	Professional		$444.44	$598.70	$959.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.20 / $504.19 / $795.97	Facility		$310.20	$504.19	$795.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.49 / $572.73 / $985.89	Professional		$359.49	$572.73	$985.89
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 $380.15 / $526.70 / $816.26	Professional		$380.15	$526.70	$816.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $492.95 / $694.48	Professional		$438.68	$492.95	$694.48