Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.75 / $2,825.00 / $7,542.00	Facility		$607.75	$2,825.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $171.97 / $279.94	Professional		$143.40	$171.97	$279.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $135.61 / $135.61	Professional		$135.61	$135.61	$135.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.24 / $2,260.36 / $4,391.97	Facility		$1,273.24	$2,260.36	$4,391.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $181.55 / $252.94	Professional		$142.46	$181.55	$252.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,745.62 / $1,745.62 / $2,521.12	Facility		$1,745.62	$1,745.62	$2,521.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $108.04 / $216.08	Professional		$87.84	$108.04	$216.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $132.74 / $132.74	Facility		$132.74	$132.74	$132.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.07 / $1,137.07 / $1,137.07	Facility		$1,137.07	$1,137.07	$1,137.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $211.73 / $331.81	Professional		$160.94	$211.73	$331.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,493.00 / $16,394.00 / $16,394.00	Facility		$4,493.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.09 / $1,760.09 / $1,760.09	Professional		$1,760.09	$1,760.09	$1,760.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $211.33 / $439.92	Facility		$154.55	$211.33	$439.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $234.09 / $275.39	Professional		$198.90	$234.09	$275.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $184.91 / $247.00	Professional		$140.32	$184.91	$247.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $215.86 / $439.92	Facility		$154.55	$215.86	$439.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $215.74 / $358.12	Professional		$162.33	$215.74	$358.12
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $177.06 / $273.63	Professional		$129.07	$177.06	$273.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $149.02 / $206.23	Professional		$130.58	$149.02	$206.23