Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $3,188.16 / $9,306.93	Facility		$706.00	$3,188.16	$9,306.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.04 / $634.91 / $1,011.96	Professional		$433.04	$634.91	$1,011.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.60 / $471.20 / $865.02	Professional		$443.60	$471.20	$865.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,381.58 / $4,243.05 / $8,384.57	Facility		$2,381.58	$4,243.05	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.43 / $634.58 / $946.29	Professional		$425.43	$634.58	$946.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $3,046.62 / $7,154.96	Facility		$673.20	$3,046.62	$7,154.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $457.42 / $526.03 / $765.63	Professional		$457.42	$526.03	$765.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $428.81 / $2,433.91 / $2,433.91	Facility		$428.81	$2,433.91	$2,433.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.27 / $789.27 / $789.27	Facility		$789.27	$789.27	$789.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.88 / $784.59 / $1,258.97	Professional		$510.88	$784.59	$1,258.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,188.56 / $11,500.00 / $26,542.00	Facility		$2,188.56	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $213.75 / $236.65 / $236.65	Facility	AS	$213.75	$236.65	$236.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,416.56 / $4,962.56 / $5,754.38	Professional		$3,416.56	$4,962.56	$5,754.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.86 / $731.93 / $1,108.08	Facility		$478.86	$731.93	$1,108.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $570.91 / $849.22 / $1,189.42	Professional		$570.91	$849.22	$1,189.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $455.73 / $711.95 / $1,452.26	Professional		$455.73	$711.95	$1,452.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.02 / $735.13 / $1,134.60	Facility		$479.02	$735.13	$1,134.60
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $261.33 / $261.33 / $261.33	Facility	80	$261.33	$261.33	$261.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $222.13	Facility	AS	$78.93	$78.93	$222.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.66 / $838.28 / $1,341.45	Professional		$526.66	$838.28	$1,341.45
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 $581.29 / $769.31 / $1,210.46	Professional		$581.29	$769.31	$1,210.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $568.70 / $641.67 / $902.46	Professional		$568.70	$641.67	$902.46