Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.49 / $3,080.00 / $10,836.00	Facility		$645.49	$3,080.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.98 / $425.66 / $746.35	Professional		$359.98	$425.66	$746.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $383.26 / $437.64 / $727.79	Professional		$383.26	$437.64	$727.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,040.62 / $3,687.04 / $7,142.18	Facility		$2,040.62	$3,687.04	$7,142.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.49 / $477.29 / $669.46	Professional		$385.49	$477.29	$669.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,663.20 / $2,687.41 / $5,346.00	Facility		$1,663.20	$2,687.41	$5,346.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $420.81 / $564.79 / $726.60	Professional		$420.81	$564.79	$726.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $396.99 / $3,826.56 / $3,826.56	Facility		$396.99	$3,826.56	$3,826.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $478.75 / $478.75	Facility		$478.75	$478.75	$478.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.86 / $556.04 / $865.99	Professional		$422.86	$556.04	$865.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $95.10 / $646.16 / $646.16	Facility	AS	$95.10	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,034.96 / $3,090.16 / $3,658.58	Professional		$3,034.96	$3,090.16	$3,658.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.59 / $499.89 / $853.40	Facility		$390.59	$499.89	$853.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.38 / $624.45 / $774.32	Professional		$520.38	$624.45	$774.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.94 / $709.11 / $1,364.20	Professional		$463.94	$709.11	$1,364.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.23 / $515.33 / $873.01	Facility		$393.23	$515.33	$873.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $136.72	Facility	AS	$47.50	$47.50	$136.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.48 / $574.87 / $875.52	Professional		$428.48	$574.87	$875.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.20 / $454.00 / $727.51	Professional		$338.20	$454.00	$727.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $403.43 / $559.20	Professional		$355.30	$403.43	$559.20