Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.52 / $2,872.00 / $9,897.00	Facility		$531.52	$2,872.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $490.48 / $760.61	Professional		$330.25	$490.48	$760.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $514.04 / $514.04	Professional		$514.04	$514.04	$514.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,042.01 / $8,793.46 / $15,732.53	Facility		$3,042.01	$8,793.46	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.53 / $500.30 / $712.34	Professional		$333.53	$500.30	$712.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $2,206.19 / $8,980.09	Facility		$487.00	$2,206.19	$8,980.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $176.17 / $208.28 / $303.82	Professional		$176.17	$208.28	$303.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $341.79 / $6,367.31 / $6,367.31	Facility		$341.79	$6,367.31	$6,367.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.27 / $627.27 / $627.27	Facility		$627.27	$627.27	$627.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.78 / $590.02 / $955.24	Professional		$392.78	$590.02	$955.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,727.12 / $11,500.00 / $26,542.00	Facility		$1,727.12	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,714.64 / $3,976.72 / $4,606.95	Professional		$2,714.64	$3,976.72	$4,606.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.08 / $550.35 / $853.65	Facility		$374.08	$550.35	$853.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $471.38 / $674.44 / $960.70	Professional		$471.38	$674.44	$960.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.34 / $598.99 / $1,379.82	Professional		$352.34	$598.99	$1,379.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.08 / $554.46 / $863.55	Facility		$374.08	$554.46	$863.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.15 / $620.10 / $1,037.48	Professional		$398.15	$620.10	$1,037.48
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 $427.12 / $583.77 / $908.46	Professional		$427.12	$583.77	$908.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.51 / $514.04 / $722.90	Professional		$455.51	$514.04	$722.90