Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,153.00 / $7,316.00	Facility		$471.00	$2,153.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.52 / $424.29 / $705.44	Professional		$359.52	$424.29	$705.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.19 / $260.19 / $269.66	Professional		$260.19	$260.19	$269.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,219.84 / $2,155.07 / $4,337.25	Facility		$1,219.84	$2,155.07	$4,337.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.13 / $478.20 / $674.55	Professional		$380.13	$478.20	$674.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $390.82 / $1,550.84 / $3,196.80	Facility		$390.82	$1,550.84	$3,196.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $393.78 / $393.78 / $395.51	Facility		$393.78	$393.78	$395.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.28 / $695.28 / $695.28	Facility		$695.28	$695.28	$695.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $544.48 / $829.27	Professional		$410.24	$544.48	$829.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,951.12 / $11,500.00 / $12,000.00	Facility		$1,951.12	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,007.76 / $3,337.28 / $3,877.13	Professional		$3,007.76	$3,337.28	$3,877.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $495.75 / $782.14	Facility		$378.92	$495.75	$782.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.95 / $625.55 / $799.42	Professional		$520.95	$625.55	$799.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.09 / $769.74 / $1,593.84	Professional		$486.09	$769.74	$1,593.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.96 / $501.30 / $808.30	Facility		$381.96	$501.30	$808.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.41 / $573.66 / $874.97	Professional		$423.41	$573.66	$874.97
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.16 / $448.59 / $704.20	Professional		$338.16	$448.59	$704.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.04 / $427.54 / $599.51	Professional		$379.04	$427.54	$599.51