Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.43 / $3,219.00 / $10,836.00	Facility		$711.43	$3,219.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.14 / $454.69 / $721.18	Professional		$378.14	$454.69	$721.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.70 / $434.89 / $725.16	Professional		$347.70	$434.89	$725.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,971.06 / $3,640.66 / $7,443.64	Facility		$1,971.06	$3,640.66	$7,443.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.86 / $501.04 / $713.53	Professional		$410.86	$501.04	$713.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,159.93 / $2,308.42 / $3,987.52	Facility		$1,159.93	$2,308.42	$3,987.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $237.15 / $310.49 / $382.36	Professional		$237.15	$310.49	$382.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $412.31 / $3,005.55 / $3,005.55	Facility		$412.31	$3,005.55	$3,005.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.73 / $513.73 / $513.73	Facility		$513.73	$513.73	$513.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.62 / $599.61 / $943.20	Professional		$440.62	$599.61	$943.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,319.84 / $3,395.76 / $3,798.08	Professional		$3,319.84	$3,395.76	$3,798.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.70 / $533.83 / $892.67	Facility		$423.70	$533.83	$892.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $519.80 / $664.73 / $824.26	Professional		$519.80	$664.73	$824.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $500.57 / $574.38	Professional		$457.04	$500.57	$574.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.95 / $550.80 / $985.53	Facility		$424.95	$550.80	$985.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.78 / $624.89 / $950.81	Professional		$457.78	$624.89	$950.81
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 $377.35 / $494.96 / $785.18	Professional		$377.35	$494.96	$785.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.22 / $431.17 / $599.02	Professional		$378.22	$431.17	$599.02