Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.85 / $3,174.00 / $9,002.82	Facility		$474.85	$3,174.00	$9,002.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.54 / $422.78 / $663.27	Professional		$281.54	$422.78	$663.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $373.04 / $401.45	Professional		$157.33	$373.04	$401.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.28 / $2,165.92 / $4,594.77	Facility		$1,328.28	$2,165.92	$4,594.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $426.30 / $610.29	Professional		$284.64	$426.30	$610.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $1,668.60 / $5,589.00	Facility		$673.20	$1,668.60	$5,589.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $382.93 / $619.11	Professional		$326.45	$382.93	$619.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $1,119.38 / $1,119.38	Facility		$287.83	$1,119.38	$1,119.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.62 / $527.62 / $527.62	Facility		$527.62	$527.62	$527.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.62 / $508.92 / $810.13	Professional		$331.62	$508.92	$810.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,467.52 / $11,500.00 / $26,542.00	Facility		$1,467.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,291.12 / $3,359.92 / $3,887.18	Professional		$2,291.12	$3,359.92	$3,887.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.94 / $471.06 / $723.54	Facility		$318.94	$471.06	$723.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.73 / $568.54 / $811.06	Professional		$389.73	$568.54	$811.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $588.82 / $1,190.63	Professional		$315.04	$588.82	$1,190.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.63 / $472.01 / $735.83	Facility		$319.63	$472.01	$735.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $528.67 / $886.40	Professional		$337.50	$528.67	$886.40
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 $367.33 / $489.77 / $778.53	Professional		$367.33	$489.77	$778.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.57 / $433.72 / $610.55	Professional		$384.57	$433.72	$610.55