Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.82 / $2,500.00 / $7,495.00	Facility		$297.82	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $309.61 / $575.80	Professional		$168.37	$309.61	$575.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $169.03 / $231.88	Professional		$103.17	$169.03	$231.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,751.97 / $4,078.80 / $7,254.24	Facility		$1,751.97	$4,078.80	$7,254.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $251.78 / $401.92	Professional		$161.41	$251.78	$401.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $3,046.62 / $5,907.07	Facility		$545.00	$3,046.62	$5,907.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $194.38 / $371.89	Professional		$99.08	$194.38	$371.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $2,678.82 / $2,678.82	Facility		$159.38	$2,678.82	$2,678.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $304.76 / $304.76	Facility		$304.76	$304.76	$304.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.44 / $518.59 / $873.52	Professional		$203.44	$518.59	$873.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.36 / $11,500.00 / $16,394.00	Facility		$1,028.36	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.60 / $2,728.60 / $3,336.50	Professional		$1,906.60	$2,728.60	$3,336.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.21 / $423.92 / $826.72	Facility		$181.21	$423.92	$826.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $334.66 / $530.66	Professional		$215.51	$334.66	$530.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $309.17 / $614.71	Professional		$176.62	$309.17	$614.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.26 / $425.80 / $832.29	Facility		$182.26	$425.80	$832.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $527.85 / $888.97	Professional		$220.23	$527.85	$888.97
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 $436.05 / $584.99 / $916.56	Professional		$436.05	$584.99	$916.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $275.70 / $386.19	Professional		$243.49	$275.70	$386.19