Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,768.00 / $6,837.00	Facility		$669.00	$2,768.00	$6,837.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.21 / $535.86 / $885.14	Professional		$442.21	$535.86	$885.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $508.26 / $518.85 / $628.07	Professional		$508.26	$518.85	$628.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.07 / $2,154.98 / $4,392.32	Facility		$1,249.07	$2,154.98	$4,392.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.76 / $601.44 / $843.60	Professional		$485.76	$601.44	$843.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $319.95 / $630.37 / $1,716.27	Facility		$319.95	$630.37	$1,716.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $584.50 / $734.83 / $889.46	Professional		$584.50	$734.83	$889.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $480.78 / $988.65 / $988.65	Facility		$480.78	$988.65	$988.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.47 / $604.47 / $604.47	Facility		$604.47	$604.47	$604.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.52 / $697.33 / $1,052.05	Professional		$512.52	$697.33	$1,052.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,993.00 / $11,500.00 / $16,394.00	Facility		$1,993.00	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,377.56 / $4,522.02 / $4,581.30	Professional		$4,377.56	$4,522.02	$4,581.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.93 / $603.83 / $979.45	Facility		$489.93	$603.83	$979.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.55 / $788.45 / $977.67	Professional		$616.55	$788.45	$977.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.47 / $1,659.00 / $6,094.00	Facility		$1,270.47	$1,659.00	$6,094.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.02 / $886.23 / $1,929.74	Professional		$538.02	$886.23	$1,929.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.03 / $605.99 / $1,064.99	Facility		$495.03	$605.99	$1,064.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $538.35 / $718.68 / $1,098.76	Professional		$538.35	$718.68	$1,098.76
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 $409.53 / $551.10 / $868.54	Professional		$409.53	$551.10	$868.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $448.61 / $508.26 / $708.59	Professional		$448.61	$508.26	$708.59