Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,923.00 / $7,495.00	Facility		$669.00	$2,923.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $610.65 / $1,129.59	Professional		$258.88	$610.65	$1,129.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $278.27 / $728.72	Professional		$121.35	$278.27	$728.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,355.59 / $4,212.35 / $8,369.27	Facility		$2,355.59	$4,212.35	$8,369.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $594.41 / $1,067.56	Professional		$229.81	$594.41	$1,067.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $3,027.01 / $7,466.38	Facility		$545.00	$3,027.01	$7,466.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $200.23 / $381.04	Professional		$136.46	$200.23	$381.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $2,500.37 / $2,500.37	Facility		$228.40	$2,500.37	$2,500.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.82 / $619.94 / $1,320.41	Professional		$297.82	$619.94	$1,320.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,458.26 / $16,394.00 / $16,394.00	Facility		$1,458.26	$16,394.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $116.26 / $125.30 / $125.30	Facility	AS	$116.26	$125.30	$125.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,961.07 / $5,647.28 / $6,632.48	Professional		$2,961.07	$5,647.28	$6,632.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.68 / $803.61 / $1,475.73	Facility		$282.68	$803.61	$1,475.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $991.55 / $1,334.78	Professional		$322.95	$991.55	$1,334.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $754.07 / $1,470.57	Professional		$247.92	$754.07	$1,470.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.68 / $822.91 / $1,685.75	Facility		$282.68	$822.91	$1,685.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $735.14 / $1,443.54	Professional		$300.39	$735.14	$1,443.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.86 / $878.01 / $1,382.57	Professional		$667.86	$878.01	$1,382.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $650.97 / $728.72 / $1,034.10	Professional		$650.97	$728.72	$1,034.10