Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.07 / $1,937.00 / $7,316.00	Facility		$453.07	$1,937.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $453.07 / $713.52	Professional		$316.24	$453.07	$713.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $322.14 / $441.35	Professional		$214.22	$322.14	$441.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,947.87 / $3,640.66 / $7,443.64	Facility		$1,947.87	$3,640.66	$7,443.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $444.30 / $648.49	Professional		$315.27	$444.30	$648.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $354.35 / $381.16 / $595.96	Professional		$354.35	$381.16	$595.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $308.83 / $3,059.88 / $3,059.88	Facility		$308.83	$3,059.88	$3,059.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Facility		$574.91	$574.91	$574.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.31 / $559.99 / $904.31	Professional		$372.31	$559.99	$904.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,704.44	Facility		$55.00	$55.00	$1,704.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.86 / $170.44 / $170.44	Facility	AS	$154.86	$170.44	$170.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,483.44 / $3,413.92 / $3,934.28	Professional		$2,483.44	$3,413.92	$3,934.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.60 / $491.51 / $796.51	Facility		$339.60	$491.51	$796.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $594.17 / $822.71	Professional		$421.90	$594.17	$822.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.31 / $502.25 / $613.60	Professional		$348.31	$502.25	$613.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.60 / $496.15 / $818.13	Facility		$339.60	$496.15	$818.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $158.79	Facility	AS	$57.49	$57.49	$158.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.56 / $582.26 / $940.23	Professional		$378.56	$582.26	$940.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,451.00 / $7,600.00	Facility		$1,165.00	$3,451.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.56 / $541.88 / $843.26	Professional		$410.56	$541.88	$843.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.09 / $441.35 / $618.95	Professional		$390.09	$441.35	$618.95