Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.75 / $2,572.00 / $7,452.40	Facility		$464.75	$2,572.00	$7,452.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $246.15 / $378.43	Professional		$130.96	$246.15	$378.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $77.90 / $80.08	Professional		$61.60	$77.90	$80.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,216.02 / $2,274.67 / $4,792.54	Facility		$1,216.02	$2,274.67	$4,792.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $240.73 / $410.55	Professional		$118.81	$240.73	$410.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,808.87 / $4,500.00	Facility		$545.00	$1,808.87	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $176.49 / $209.44	Professional		$123.20	$176.49	$209.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.74 / $1,437.90 / $1,437.90	Facility		$117.74	$1,437.90	$1,437.90
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 $146.90 / $269.43 / $518.95	Professional		$146.90	$269.43	$518.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.85 / $16,394.00 / $16,394.00	Facility		$1,035.85	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,978.72 / $2,276.78	Professional		$1,272.00	$1,978.72	$2,276.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.91 / $290.54 / $565.29	Facility		$137.91	$290.54	$565.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $291.05 / $476.26	Professional		$163.15	$291.05	$476.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.99 / $247.51 / $366.22	Professional		$119.99	$247.51	$366.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.05 / $296.27 / $586.91	Facility		$138.05	$296.27	$586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $278.33 / $544.79	Professional		$148.44	$278.33	$544.79
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 $237.15 / $337.63 / $540.21	Professional		$237.15	$337.63	$540.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.82 / $254.64 / $358.86	Professional		$225.82	$254.64	$358.86