Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $2,994.42 / $9,897.00	Facility		$706.00	$2,994.42	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.24 / $427.91 / $729.46	Professional		$360.24	$427.91	$729.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.52 / $407.52 / $427.90	Professional		$407.52	$407.52	$427.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.69 / $4,325.17 / $8,431.35	Facility		$2,463.69	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.26 / $468.61 / $667.34	Professional		$384.26	$468.61	$667.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $449.01 / $1,405.45 / $5,069.04	Facility		$449.01	$1,405.45	$5,069.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $397.92 / $2,576.17 / $2,576.17	Facility		$397.92	$2,576.17	$2,576.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.58 / $483.58 / $483.58	Facility		$483.58	$483.58	$483.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.26 / $569.62 / $877.43	Professional		$433.26	$569.62	$877.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,592.52 / $11,500.00 / $26,542.00	Facility		$1,592.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,239.10 / $3,345.99 / $3,637.88	Professional		$3,239.10	$3,345.99	$3,637.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.82 / $545.22 / $850.20	Facility		$415.82	$545.22	$850.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $525.63 / $630.75 / $782.13	Professional		$525.63	$630.75	$782.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.55 / $619.79 / $935.89	Professional		$457.55	$619.79	$935.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.82 / $545.84 / $896.82	Facility		$415.82	$545.84	$896.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.81 / $594.04 / $889.70	Professional		$434.81	$594.04	$889.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.86 / $460.77 / $707.49	Professional		$340.86	$460.77	$707.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.88 / $407.52 / $567.69	Professional		$358.88	$407.52	$567.69