Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,496.00 / $7,316.00	Facility		$633.00	$2,496.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.55 / $269.20 / $380.40	Professional		$227.55	$269.20	$380.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $117.54 / $117.54	Professional		$117.54	$117.54	$117.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,467.00 / $4,581.58 / $8,771.00	Facility		$2,467.00	$4,581.58	$8,771.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $274.75 / $400.04	Professional		$208.73	$274.75	$400.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $2,818.04 / $6,810.79	Facility		$588.72	$2,818.04	$6,810.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $276.66 / $276.66 / $340.87	Professional		$276.66	$276.66	$340.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $207.82 / $3,559.70 / $3,559.70	Facility		$207.82	$3,559.70	$3,559.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.50 / $2,311.50 / $2,311.50	Facility		$2,311.50	$2,311.50	$2,311.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.89 / $335.67 / $516.00	Professional		$253.89	$335.67	$516.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,133.70 / $16,394.00 / $16,394.00	Facility		$9,133.70	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,788.71 / $2,788.71 / $2,788.71	Professional		$2,788.71	$2,788.71	$2,788.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.04 / $336.19 / $697.08	Facility		$243.04	$336.19	$697.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $368.70 / $433.76	Professional		$265.08	$368.70	$433.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $405.30 / $405.30 / $405.30	Professional		$405.30	$405.30	$405.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.04 / $342.53 / $697.08	Facility		$243.04	$342.53	$697.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $341.43 / $548.98	Professional		$258.45	$341.43	$548.98
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 $204.99 / $281.86 / $435.61	Professional		$204.99	$281.86	$435.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $235.08 / $324.77	Professional		$205.67	$235.08	$324.77