Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.91 / $2,061.50 / $5,906.00	Facility		$556.91	$2,061.50	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $514.13 / $798.89	Professional		$344.97	$514.13	$798.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.35 / $266.11 / $563.48	Professional		$237.35	$266.11	$563.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,299.46 / $4,144.00 / $8,384.57	Facility		$2,299.46	$4,144.00	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.20 / $522.64 / $730.65	Professional		$355.20	$522.64	$730.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $356.80 / $1,424.93 / $3,548.51	Facility		$356.80	$1,424.93	$3,548.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $204.80 / $221.16 / $389.11	Professional		$204.80	$221.16	$389.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $362.64 / $3,122.23 / $3,122.23	Facility		$362.64	$3,122.23	$3,122.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.09 / $661.09 / $661.09	Facility		$661.09	$661.09	$661.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $66.11	Facility	AS	$66.11	$66.11	$66.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.07 / $614.82 / $968.15	Professional		$415.07	$614.82	$968.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,843.36 / $11,500.00 / $16,394.00	Facility		$1,843.36	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $179.69 / $199.93 / $199.93	Facility	AS	$179.69	$199.93	$199.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,869.12 / $4,116.96 / $4,780.05	Professional		$2,869.12	$4,116.96	$4,780.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $393.71 / $563.01 / $894.10	Facility		$393.71	$563.01	$894.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.37 / $691.41 / $995.63	Professional		$450.37	$691.41	$995.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.91 / $612.04 / $1,466.14	Professional		$372.91	$612.04	$1,466.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.19 / $565.27 / $901.97	Facility		$395.19	$565.27	$901.97
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $216.62 / $216.62 / $216.62	Facility	80	$216.62	$216.62	$216.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $184.12	Facility	AS	$66.11	$66.11	$184.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.62 / $647.30 / $1,079.78	Professional		$422.62	$647.30	$1,079.78
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 $444.71 / $592.95 / $935.49	Professional		$444.71	$592.95	$935.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $472.08 / $532.22 / $749.21	Professional		$472.08	$532.22	$749.21