Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.25 / $1,981.00 / $6,762.00	Facility		$465.25	$1,981.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $700.08 / $1,109.70	Professional		$153.65	$700.08	$1,109.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $93.92 / $147.40	Professional		$93.92	$93.92	$147.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $600.46 / $1,141.45	Professional		$141.09	$600.46	$1,141.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $151.28 / $2,600.00	Facility		$151.28	$151.28	$2,600.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $101.78 / $152.11	Professional		$81.06	$101.78	$152.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $282.97 / $282.97	Facility		$134.69	$282.97	$282.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $359.50 / $1,453.79	Professional		$176.72	$359.50	$1,453.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,411.45	Facility		$55.00	$55.00	$1,411.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,866.03 / $6,462.52 / $6,656.40	Professional		$2,866.03	$6,462.52	$6,656.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.02 / $436.12 / $1,630.57	Facility		$169.02	$436.12	$1,630.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.60 / $732.24 / $1,295.72	Professional		$192.60	$732.24	$1,295.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $599.54 / $1,428.48	Professional		$154.77	$599.54	$1,428.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.02 / $570.49 / $1,753.79	Facility		$169.02	$570.49	$1,753.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.97 / $469.68 / $1,524.60	Professional		$185.97	$469.68	$1,524.60
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.75 / $934.85 / $1,473.70	Professional		$667.75	$934.85	$1,473.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $705.09 / $1,004.14	Professional		$631.91	$705.09	$1,004.14