Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.25 / $3,000.00 / $7,542.00	Facility		$620.25	$3,000.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.61 / $540.79 / $854.54	Professional		$292.61	$540.79	$854.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.28 / $374.42 / $398.97	Professional		$189.28	$374.42	$398.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,274.07 / $2,127.96 / $4,365.78	Facility		$1,274.07	$2,127.96	$4,365.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $529.04 / $795.77	Professional		$297.33	$529.04	$795.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $1,878.44 / $6,130.06	Facility		$673.20	$1,878.44	$6,130.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $381.84 / $737.30 / $1,013.79	Professional		$381.84	$737.30	$1,013.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $299.27 / $1,048.02 / $1,048.02	Facility		$299.27	$1,048.02	$1,048.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $541.16 / $541.16	Facility		$541.16	$541.16	$541.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $590.27 / $1,000.15	Professional		$346.80	$590.27	$1,000.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.76 / $11,500.00 / $26,542.00	Facility		$1,516.76	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,345.12 / $4,387.43 / $5,195.78	Professional		$2,345.12	$4,387.43	$5,195.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.32 / $594.63 / $923.43	Facility		$317.32	$594.63	$923.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $592.02 / $1,071.32	Professional		$405.82	$592.02	$1,071.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $493.11 / $1,659.00 / $3,419.00	Facility		$493.11	$1,659.00	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $373.52 / $667.59 / $1,218.71	Professional		$373.52	$667.59	$1,218.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.82 / $596.86 / $928.38	Facility		$317.82	$596.86	$928.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.20 / $615.04 / $1,107.19	Professional		$350.20	$615.04	$1,107.19
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $2,478.00 / $4,739.00	Facility		$745.00	$2,478.00	$4,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $600.41 / $938.94	Professional		$456.00	$600.41	$938.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $507.97 / $568.55 / $805.99	Professional		$507.97	$568.55	$805.99