Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.58 / $2,485.00 / $7,495.00	Facility		$559.58	$2,485.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $479.87 / $752.40	Professional		$322.25	$479.87	$752.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.42 / $226.42 / $452.85	Professional		$226.42	$226.42	$452.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,130.00 / $4,144.00 / $8,173.76	Facility		$2,130.00	$4,144.00	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.53 / $487.61 / $698.95	Professional		$333.53	$487.61	$698.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $192.36 / $207.55 / $302.48	Professional		$192.36	$207.55	$302.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $338.17 / $340.17	Facility		$80.00	$338.17	$340.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.17 / $621.17 / $621.17	Facility		$621.17	$621.17	$621.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.27 / $581.91 / $932.50	Professional		$391.27	$581.91	$932.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,715.52 / $11,500.00 / $16,394.00	Facility		$1,715.52	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,686.16 / $3,836.16 / $4,473.30	Professional		$2,686.16	$3,836.16	$4,473.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.73 / $536.05 / $826.56	Facility		$363.73	$536.05	$826.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $459.84 / $670.83 / $929.83	Professional		$459.84	$670.83	$929.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.45 / $553.41 / $1,127.14	Professional		$359.45	$553.41	$1,127.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.64 / $539.60 / $854.85	Facility		$366.64	$539.60	$854.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $602.20 / $994.80	Professional		$395.21	$602.20	$994.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,451.00 / $7,600.00	Facility		$1,154.00	$3,451.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.32 / $547.09 / $875.34	Professional		$410.32	$547.09	$875.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $440.88 / $497.08 / $699.23	Professional		$440.88	$497.08	$699.23