Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.28 / $2,562.00 / $7,078.00	Facility		$380.28	$2,562.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $303.82 / $601.03	Professional		$163.66	$303.82	$601.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $166.29 / $256.82	Professional		$82.44	$166.29	$256.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,751.97 / $4,160.92 / $7,640.11	Facility		$1,751.97	$4,160.92	$7,640.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $267.79 / $436.65	Professional		$158.10	$267.79	$436.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $255.63 / $432.54	Professional		$148.69	$255.63	$432.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $154.16 / $2,668.89 / $2,668.89	Facility		$154.16	$2,668.89	$2,668.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $297.22	Facility		$297.22	$297.22	$297.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.84 / $496.74 / $878.51	Professional		$197.84	$496.74	$878.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $11,500.00 / $16,394.00	Facility		$966.18	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.20 / $2,614.19 / $3,173.36	Professional		$1,792.20	$2,614.19	$3,173.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.83 / $410.12 / $795.99	Facility		$176.83	$410.12	$795.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $328.21 / $520.42	Professional		$214.46	$328.21	$520.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.86 / $303.00 / $598.67	Professional		$170.86	$303.00	$598.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.16 / $413.77 / $811.39	Facility		$177.16	$413.77	$811.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.88 / $505.92 / $880.01	Professional		$214.88	$505.92	$880.01
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 $416.84 / $555.78 / $920.09	Professional		$416.84	$555.78	$920.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $238.80 / $270.33 / $378.76	Professional		$238.80	$270.33	$378.76