Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,004.00 / $8,450.76	Facility		$789.00	$3,004.00	$8,450.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $353.93 / $614.34	Professional		$294.14	$353.93	$614.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.95 / $335.90 / $409.80	Professional		$167.95	$335.90	$409.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.28 / $2,141.52 / $4,405.02	Facility		$1,328.28	$2,141.52	$4,405.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.89 / $398.56 / $559.04	Professional		$321.89	$398.56	$559.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $1,763.30 / $5,626.92	Facility		$673.20	$1,763.30	$5,626.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $350.09 / $579.60	Professional		$199.96	$350.09	$579.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $329.83 / $1,020.86 / $1,020.86	Facility		$329.83	$1,020.86	$1,020.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.37 / $401.37 / $401.37	Facility		$401.37	$401.37	$401.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $462.77 / $710.44	Professional		$346.80	$462.77	$710.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.16 / $11,500.00 / $26,542.00	Facility		$1,320.16	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,571.36 / $2,616.88 / $3,043.65	Professional		$2,571.36	$2,616.88	$3,043.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.62 / $458.29 / $706.47	Facility		$342.62	$458.29	$706.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $408.52 / $498.40 / $649.17	Professional		$408.52	$498.40	$649.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $550.89 / $1,659.00 / $5,733.00	Facility		$550.89	$1,659.00	$5,733.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $392.69 / $604.24 / $1,286.50	Professional		$392.69	$604.24	$1,286.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.62 / $460.24 / $723.44	Facility		$342.62	$460.24	$723.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.52 / $471.86 / $720.42	Professional		$350.52	$471.86	$720.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.68 / $366.18 / $585.12	Professional		$271.68	$366.18	$585.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.88 / $335.90 / $471.35	Professional		$297.88	$335.90	$471.35