Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.22 / $2,090.00 / $6,762.00	Facility		$460.22	$2,090.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $363.15 / $659.52	Professional		$170.12	$363.15	$659.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $90.53 / $223.26	Professional		$90.53	$90.53	$223.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.44 / $2,168.71 / $4,296.24	Facility		$1,180.44	$2,168.71	$4,296.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $381.72 / $622.42	Professional		$173.26	$381.72	$622.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $204.08 / $256.95 / $310.56	Professional		$204.08	$256.95	$310.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,849.28 / $1,849.28	Facility		$177.00	$1,849.28	$1,849.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $313.77 / $313.77	Facility		$313.77	$313.77	$313.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $381.40 / $724.47	Professional		$200.53	$381.40	$724.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $11,500.00 / $12,000.00	Facility		$876.64	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.40 / $3,347.52 / $3,966.53	Professional		$1,769.40	$3,347.52	$3,966.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.33 / $412.17 / $672.97	Facility		$186.33	$412.17	$672.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $522.26 / $817.45	Professional		$238.85	$522.26	$817.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $501.44 / $1,065.54	Professional		$198.66	$501.44	$1,065.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.33 / $412.93 / $693.78	Facility		$186.33	$412.93	$693.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.78 / $392.55 / $808.94	Professional		$202.78	$392.55	$808.94
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 $312.94 / $434.79 / $687.39	Professional		$312.94	$434.79	$687.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $387.59 / $433.00 / $615.40	Professional		$387.59	$433.00	$615.40