Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.20 / $2,496.00 / $7,497.00	Facility		$567.20	$2,496.00	$7,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $435.17 / $689.93	Professional		$304.89	$435.17	$689.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $326.33 / $673.41	Professional		$146.58	$326.33	$673.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.52 / $454.68 / $1,680.52	Facility		$268.52	$454.68	$1,680.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $434.92 / $621.86	Professional		$305.64	$434.92	$621.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $264.50 / $2,413.35	Facility		$62.50	$264.50	$2,413.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $366.11 / $557.12	Professional		$177.30	$366.11	$557.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $4,197.84 / $4,197.84	Facility		$310.89	$4,197.84	$4,197.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.17 / $573.17 / $573.17	Facility		$573.17	$573.17	$573.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $541.72 / $840.85	Professional		$358.00	$541.72	$840.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,728.29	Facility		$55.00	$55.00	$1,728.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.56 / $3,463.20 / $3,985.28	Professional		$2,494.56	$3,463.20	$3,985.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $343.79 / $489.80 / $752.93	Facility		$343.79	$489.80	$752.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.15 / $602.16 / $833.76	Professional		$423.15	$602.16	$833.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.03 / $527.37 / $1,212.21	Professional		$346.03	$527.37	$1,212.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.70 / $490.65 / $772.59	Facility		$345.70	$490.65	$772.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.41 / $548.78 / $907.35	Professional		$366.41	$548.78	$907.35
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 $373.82 / $501.64 / $788.27	Professional		$373.82	$501.64	$788.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $395.33 / $446.45 / $627.84	Professional		$395.33	$446.45	$627.84