Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $2,757.00 / $10,639.00	Facility		$530.64	$2,757.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $434.16 / $700.94	Professional		$296.02	$434.16	$700.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $353.76 / $414.51	Professional		$207.26	$353.76	$414.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,182.89 / $4,243.05 / $8,173.76	Facility		$2,182.89	$4,243.05	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.16 / $445.08 / $641.45	Professional		$308.16	$445.08	$641.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $362.50 / $1,548.77 / $8,100.00	Facility		$362.50	$1,548.77	$8,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $381.89 / $552.72	Professional		$182.10	$381.89	$552.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $311.05 / $2,527.63 / $2,527.63	Facility		$311.05	$2,527.63	$2,527.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.65 / $571.65 / $571.65	Facility		$571.65	$571.65	$571.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.08 / $544.85 / $866.43	Professional		$359.08	$544.85	$866.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,588.96 / $11,500.00 / $26,542.00	Facility		$1,588.96	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,486.08 / $3,521.60 / $4,062.90	Professional		$2,486.08	$3,521.60	$4,062.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.08 / $492.07 / $761.61	Facility		$332.08	$492.07	$761.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.04 / $589.51 / $848.90	Professional		$414.04	$589.51	$848.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $355.57 / $518.30 / $758.23	Professional		$355.57	$518.30	$758.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.39 / $495.19 / $794.97	Facility		$336.39	$495.19	$794.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.80 / $553.54 / $932.67	Professional		$366.80	$553.54	$932.67
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 $385.55 / $522.28 / $812.90	Professional		$385.55	$522.28	$812.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $402.50 / $454.27 / $639.16	Professional		$402.50	$454.27	$639.16