Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.72 / $2,299.00 / $7,078.00	Facility		$593.72	$2,299.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.12 / $659.65 / $1,046.94	Professional		$455.12	$659.65	$1,046.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $467.21 / $711.17	Professional		$284.25	$467.21	$711.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,539.42 / $4,270.42 / $8,384.57	Facility		$2,539.42	$4,270.42	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.23 / $640.15 / $967.46	Professional		$445.23	$640.15	$967.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $294.36 / $1,460.73 / $5,069.04	Facility		$294.36	$1,460.73	$5,069.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $513.92 / $635.16 / $974.73	Professional		$513.92	$635.16	$974.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $449.86 / $451.49	Facility		$80.00	$449.86	$451.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.68 / $831.68 / $831.68	Facility		$831.68	$831.68	$831.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.32 / $828.78 / $1,297.00	Professional		$538.32	$828.78	$1,297.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,308.64 / $11,500.00 / $16,394.00	Facility		$2,308.64	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $224.95 / $249.58 / $249.58	Facility	AS	$224.95	$249.58	$249.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $5,066.00 / $5,830.58	Professional		$3,800.00	$5,066.00	$5,830.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.64 / $752.83 / $1,153.18	Facility		$504.64	$752.83	$1,153.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $624.87 / $880.96 / $1,219.79	Professional		$624.87	$880.96	$1,219.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.86 / $718.70 / $1,454.26	Professional		$478.86	$718.70	$1,454.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.70 / $757.14 / $1,160.45	Facility		$504.70	$757.14	$1,160.45
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $263.51 / $263.51 / $263.51	Facility	80	$263.51	$263.51	$263.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $223.99	Facility	AS	$83.17	$83.17	$223.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.09 / $873.38 / $1,373.42	Professional		$553.09	$873.38	$1,373.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.66 / $783.55 / $1,249.47	Professional		$587.66	$783.55	$1,249.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $578.36 / $653.36 / $918.41	Professional		$578.36	$653.36	$918.41