Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $3,431.00 / $9,897.00	Facility		$649.00	$3,431.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $130.66 / $199.44	Professional		$106.63	$130.66	$199.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $71.58 / $71.58	Professional		$71.58	$71.58	$71.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,085.80 / $4,112.29 / $8,041.22	Facility		$2,085.80	$4,112.29	$8,041.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $138.31 / $192.69	Professional		$108.52	$138.31	$192.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $287.27 / $2,021.95 / $3,834.74	Facility		$287.27	$2,021.95	$3,834.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $116.35 / $235.83	Professional		$81.20	$116.35	$235.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $1,848.41 / $1,848.41	Facility		$105.76	$1,848.41	$1,848.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $160.78 / $249.49	Professional		$122.08	$160.78	$249.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $26,542.00 / $26,542.00	Facility		$7,909.30	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $862.64 / $886.56 / $1,004.78	Professional		$862.64	$886.56	$1,004.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $151.55 / $262.05	Facility		$116.35	$151.55	$262.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $177.66 / $209.02	Professional		$150.96	$177.66	$209.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $123.66 / $142.50	Professional		$107.65	$123.66	$142.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $154.72 / $292.43	Facility		$116.35	$154.72	$292.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $164.23 / $267.62	Professional		$122.72	$164.23	$267.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $136.21 / $211.61	Professional		$100.75	$136.21	$211.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $112.00 / $157.07	Professional		$99.10	$112.00	$157.07