Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,500.00 / $7,495.00	Facility		$617.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $301.38 / $881.97	Professional		$90.66	$301.38	$881.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $84.13 / $105.40	Professional		$76.31	$84.13	$105.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.02 / $2,078.08 / $4,235.58	Facility		$1,178.02	$2,078.08	$4,235.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $428.78 / $718.24	Professional		$84.34	$428.78	$718.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $128.40 / $149.31	Professional		$96.61	$128.40	$149.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $77.31 / $716.26	Facility		$77.31	$77.31	$716.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $1,213.94 / $2,277.00	Facility		$158.18	$1,213.94	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $208.30 / $1,070.82	Professional		$100.16	$208.30	$1,070.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,247.66	Facility		$55.00	$55.00	$1,247.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,462.26 / $4,911.84 / $5,776.35	Professional		$2,462.26	$4,911.84	$5,776.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $404.58 / $993.22	Facility		$94.87	$404.58	$993.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $663.43 / $1,184.22	Professional		$112.00	$663.43	$1,184.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $798.01 / $1,578.30	Professional		$110.40	$798.01	$1,578.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $455.04 / $1,022.58	Facility		$95.49	$455.04	$1,022.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $267.77 / $1,365.27	Professional		$106.51	$267.77	$1,365.27
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,100.00 / $4,554.00	Facility		$597.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $691.84 / $1,093.10	Professional		$493.67	$691.84	$1,093.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $630.10 / $901.30	Professional		$131.66	$630.10	$901.30