Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.27 / $2,965.00 / $11,453.00	Facility		$597.27	$2,965.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.09 / $557.90 / $907.84	Professional		$398.09	$557.90	$907.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.94 / $338.94 / $338.94	Professional		$338.94	$338.94	$338.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.96 / $4,232.37 / $8,173.76	Facility		$2,189.96	$4,232.37	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.98 / $555.67 / $828.64	Professional		$400.98	$555.67	$828.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $2,921.45 / $6,726.24	Facility		$673.20	$2,921.45	$6,726.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $284.68 / $541.74 / $729.26	Professional		$284.68	$541.74	$729.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $406.24 / $406.68	Facility		$80.00	$406.24	$406.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.15 / $739.15 / $739.15	Facility		$739.15	$739.15	$739.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.81 / $674.78 / $1,049.93	Professional		$463.81	$674.78	$1,049.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,070.08 / $11,500.00 / $26,542.00	Facility		$2,070.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,220.00 / $4,353.28 / $5,031.53	Professional		$3,220.00	$4,353.28	$5,031.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.72 / $597.35 / $951.99	Facility		$441.72	$597.35	$951.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $548.11 / $758.59 / $1,050.34	Professional		$548.11	$758.59	$1,050.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $448.79 / $670.75 / $1,581.73	Professional		$448.79	$670.75	$1,581.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.72 / $599.89 / $974.44	Facility		$441.72	$599.89	$974.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.66 / $701.22 / $1,155.23	Professional		$476.66	$701.22	$1,155.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,239.00 / $7,600.00	Facility		$1,154.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.57 / $632.59 / $989.14	Professional		$475.57	$632.59	$989.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $498.03 / $561.91 / $790.70	Professional		$498.03	$561.91	$790.70