Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.87 / $2,496.00 / $7,495.00	Facility		$399.87	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.93 / $345.04 / $534.13	Professional		$237.93	$345.04	$534.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $249.92 / $500.00	Professional		$158.68	$249.92	$500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.42 / $2,154.98 / $4,653.10	Facility		$1,230.42	$2,154.98	$4,653.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.40 / $351.82 / $502.92	Professional		$240.40	$351.82	$502.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $283.61 / $408.69 / $604.15	Professional		$283.61	$408.69	$604.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $242.04 / $1,501.12 / $1,501.12	Facility		$242.04	$1,501.12	$1,501.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.78 / $444.78 / $444.78	Facility		$444.78	$444.78	$444.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.20 / $427.85 / $677.50	Professional		$282.20	$427.85	$677.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,240.76 / $11,500.00 / $16,394.00	Facility		$1,240.76	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.56 / $2,755.76 / $3,174.08	Professional		$1,932.56	$2,755.76	$3,174.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.99 / $387.19 / $604.36	Facility		$265.99	$387.19	$604.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $334.30 / $478.30 / $663.75	Professional		$334.30	$478.30	$663.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $405.32 / $473.70	Professional		$270.97	$405.32	$473.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.99 / $388.71 / $613.57	Facility		$265.99	$388.71	$613.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $439.28 / $737.24	Professional		$286.64	$439.28	$737.24
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,045.00 / $4,480.00	Facility		$600.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.62 / $409.10 / $646.05	Professional		$309.62	$409.10	$646.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $355.38 / $499.77	Professional		$314.72	$355.38	$499.77