Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.25 / $2,500.00 / $6,940.00	Facility		$445.25	$2,500.00	$6,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $122.18 / $189.57	Professional		$48.04	$122.18	$189.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $79.43 / $128.86	Professional		$42.00	$79.43	$128.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $3,017.00 / $4,503.00	Facility		$1,845.00	$3,017.00	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $91.97 / $176.17	Professional		$43.63	$91.97	$176.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $2,505.78 / $8,000.00	Facility		$47.22	$2,505.78	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $67.73 / $126.51	Professional		$49.68	$67.73	$126.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $40.99 / $114.03	Facility		$40.99	$40.99	$114.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $81.79	Facility		$81.79	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $104.39 / $247.72	Professional		$54.01	$104.39	$247.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $214.95 / $226.86	Facility		$55.00	$214.95	$226.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $429.75 / $1,042.93 / $1,074.22	Professional		$429.75	$1,042.93	$1,074.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.35 / $110.34 / $255.83	Facility		$48.35	$110.34	$255.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $142.55 / $245.82	Professional		$59.71	$142.55	$245.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $105.37 / $219.38	Professional		$45.16	$105.37	$219.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.64 / $111.06 / $256.99	Facility		$48.64	$111.06	$256.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $121.31 / $284.69	Professional		$58.15	$121.31	$284.69
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,376.00	Facility		$161.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $161.50 / $276.52	Professional		$116.91	$161.50	$276.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $105.37 / $148.51	Professional		$93.58	$105.37	$148.51