Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $2,500.00 / $7,495.00	Facility		$558.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.86 / $455.50 / $727.32	Professional		$291.86	$455.50	$727.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $155.91 / $155.91	Professional		$155.91	$155.91	$155.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.33 / $2,143.37 / $4,337.42	Facility		$1,235.33	$2,143.37	$4,337.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.48 / $483.55 / $700.20	Professional		$295.48	$483.55	$700.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $1,542.24 / $4,500.00	Facility		$588.72	$1,542.24	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $335.27 / $438.34 / $563.86	Professional		$335.27	$438.34	$563.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $297.79 / $1,000.75 / $1,000.75	Facility		$297.79	$1,000.75	$1,000.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.62 / $539.62 / $539.62	Facility		$539.62	$539.62	$539.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.65 / $532.14 / $845.12	Professional		$344.65	$532.14	$845.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.72 / $11,500.00 / $16,394.00	Facility		$1,499.72	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,315.67 / $3,689.92 / $4,385.39	Professional		$2,315.67	$3,689.92	$4,385.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.02 / $489.08 / $758.92	Facility		$320.02	$489.08	$758.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $409.99 / $586.61 / $903.04	Professional		$409.99	$586.61	$903.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.51 / $552.99 / $703.19	Professional		$350.51	$552.99	$703.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.14 / $491.16 / $768.36	Facility		$321.14	$491.16	$768.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.78 / $574.72 / $961.72	Professional		$347.78	$574.72	$961.72
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 $373.12 / $497.82 / $782.48	Professional		$373.12	$497.82	$782.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.18 / $480.86 / $678.17	Professional		$428.18	$480.86	$678.17