Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.51 / $3,078.00 / $10,048.00	Facility		$554.51	$3,078.00	$10,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $477.51 / $772.65	Professional		$336.93	$477.51	$772.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $362.34 / $368.87	Professional		$167.68	$362.34	$368.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.94 / $2,159.90 / $4,594.77	Facility		$1,322.94	$2,159.90	$4,594.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.00 / $490.71 / $698.86	Professional		$349.00	$490.71	$698.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $1,668.60 / $5,907.07	Facility		$673.20	$1,668.60	$5,907.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $502.28 / $659.00	Professional		$402.71	$502.28	$659.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $359.91 / $1,523.08 / $1,523.08	Facility		$359.91	$1,523.08	$1,523.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $647.41 / $647.41	Facility		$647.41	$647.41	$647.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.93 / $578.00 / $903.82	Professional		$398.93	$578.00	$903.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,801.84 / $11,500.00 / $26,542.00	Facility		$1,801.84	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.12 / $199.19 / $199.19	Facility	AS	$177.12	$199.19	$199.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,829.60 / $3,891.36 / $4,512.30	Professional		$2,829.60	$3,891.36	$4,512.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $377.48 / $508.62 / $810.39	Facility		$377.48	$508.62	$810.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $482.52 / $679.12 / $932.48	Professional		$482.52	$679.12	$932.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.45 / $623.89 / $1,208.08	Professional		$417.45	$623.89	$1,208.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.10 / $512.12 / $827.60	Facility		$378.10	$512.12	$827.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $171.78	Facility	AS	$64.73	$64.73	$171.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.69 / $605.73 / $1,004.24	Professional		$407.69	$605.73	$1,004.24
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 $410.57 / $547.84 / $854.78	Professional		$410.57	$547.84	$854.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $445.85 / $502.12 / $708.01	Professional		$445.85	$502.12	$708.01