Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.34 / $3,102.00 / $10,639.00	Facility		$364.34	$3,102.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $258.82 / $523.09	Professional		$135.41	$258.82	$523.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $133.57 / $205.89	Professional		$68.23	$133.57	$205.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.28 / $2,168.62 / $4,594.77	Facility		$1,328.28	$2,168.62	$4,594.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $224.69 / $368.90	Professional		$128.40	$224.69	$368.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $1,763.30 / $5,626.92	Facility		$673.20	$1,763.30	$5,626.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $78.48 / $139.97	Professional		$73.47	$78.48	$139.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $125.64 / $127.24	Facility		$80.00	$125.64	$127.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $240.69	Facility		$240.69	$240.69	$240.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $453.44 / $741.52	Professional		$161.84	$453.44	$741.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $875.91 / $11,500.00 / $26,542.00	Facility		$875.91	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.95 / $2,170.85 / $2,701.08	Professional		$1,562.95	$2,170.85	$2,701.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.52 / $422.27 / $701.57	Facility		$144.52	$422.27	$701.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.63 / $259.49 / $424.46	Professional		$173.63	$259.49	$424.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.77 / $250.48 / $454.42	Professional		$143.77	$250.48	$454.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.28 / $422.29 / $719.49	Facility		$145.28	$422.29	$719.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $462.38 / $749.90	Professional		$176.16	$462.38	$749.90
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 $345.38 / $480.33 / $749.45	Professional		$345.38	$480.33	$749.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.26 / $227.71 / $319.69	Professional		$201.26	$227.71	$319.69