Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,840.00 / $6,268.28	Facility		$649.00	$2,840.00	$6,268.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $502.58 / $821.32	Professional		$264.00	$502.58	$821.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $296.24 / $524.13	Professional		$155.91	$296.24	$524.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.51 / $2,127.96 / $4,350.80	Facility		$1,260.51	$2,127.96	$4,350.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.14 / $479.72 / $763.39	Professional		$266.14	$479.72	$763.39
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,702.36 / $4,500.00	Facility		$625.00	$1,702.36	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $311.83 / $868.66	Professional		$168.60	$311.83	$868.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $278.57 / $1,119.38 / $1,119.38	Facility		$278.57	$1,119.38	$1,119.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $499.04 / $499.04	Facility		$499.04	$499.04	$499.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $561.33 / $974.37	Professional		$320.33	$561.33	$974.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.20 / $11,500.00 / $16,394.00	Facility		$1,399.20	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,523.00 / $4,196.47 / $4,976.47	Professional		$2,523.00	$4,196.47	$4,976.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $570.71 / $931.17	Facility		$293.20	$570.71	$931.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.94 / $547.49 / $1,016.77	Professional		$367.94	$547.49	$1,016.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $339.74 / $1,453.03 / $3,419.00	Facility		$339.74	$1,453.03	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.74 / $617.09 / $1,297.66	Professional		$315.74	$617.09	$1,297.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $571.71 / $931.40	Facility		$293.20	$571.71	$931.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.17 / $581.79 / $1,082.18	Professional		$325.17	$581.79	$1,082.18
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 $450.98 / $612.27 / $958.32	Professional		$450.98	$612.27	$958.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.15 / $543.61 / $771.51	Professional		$486.15	$543.61	$771.51