Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.50 / $2,872.00 / $8,883.00	Facility		$425.50	$2,872.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.87 / $382.21 / $598.91	Professional		$269.87	$382.21	$598.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.32 / $365.18 / $602.98	Professional		$257.32	$365.18	$602.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,182.89 / $4,243.05 / $8,173.76	Facility		$2,182.89	$4,243.05	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $394.49 / $565.97	Professional		$271.64	$394.49	$565.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $2,921.45 / $7,154.96	Facility		$673.20	$2,921.45	$7,154.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $291.98 / $334.83 / $488.22	Professional		$291.98	$334.83	$488.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $270.45 / $2,032.91 / $2,032.91	Facility		$270.45	$2,032.91	$2,032.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.27 / $504.27 / $504.27	Facility		$504.27	$504.27	$504.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $482.55 / $760.37	Professional		$316.08	$482.55	$760.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.04 / $11,500.00 / $26,542.00	Facility		$1,399.04	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,192.48 / $3,099.04 / $3,558.23	Professional		$2,192.48	$3,099.04	$3,558.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.12 / $439.68 / $684.66	Facility		$305.12	$439.68	$684.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.90 / $517.54 / $745.27	Professional		$363.90	$517.54	$745.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.48 / $513.14 / $760.21	Professional		$325.48	$513.14	$760.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.23 / $441.64 / $698.74	Facility		$305.23	$441.64	$698.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.18 / $492.94 / $821.88	Professional		$324.18	$492.94	$821.88
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 $338.34 / $451.12 / $712.66	Professional		$338.34	$451.12	$712.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $399.28 / $561.28	Professional		$353.37	$399.28	$561.28