Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.95 / $2,020.00 / $5,872.00	Facility		$364.95	$2,020.00	$5,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.72 / $234.89 / $349.98	Professional		$189.72	$234.89	$349.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.23 / $220.08 / $270.39	Professional		$109.23	$220.08	$270.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.57 / $1,040.33 / $2,229.75	Facility		$612.57	$1,040.33	$2,229.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $213.64 / $316.94	Professional		$158.21	$213.64	$316.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,711.56 / $4,294.00	Facility		$500.00	$1,711.56	$4,294.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $178.03 / $236.87 / $332.78	Professional		$178.03	$236.87	$332.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $1,405.27 / $1,405.27	Facility		$169.04	$1,405.27	$1,405.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.77 / $907.77 / $907.77	Facility		$907.77	$907.77	$907.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $281.69 / $468.03	Professional		$213.36	$281.69	$468.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $923.07 / $12,000.00 / $12,000.00	Facility		$923.07	$12,000.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $85.53 / $92.31 / $92.31	Facility	AS	$85.53	$92.31	$92.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.64 / $1,862.48 / $2,268.59	Professional		$1,350.64	$1,862.48	$2,268.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.98 / $291.20 / $538.53	Facility		$206.98	$291.20	$538.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $237.59 / $300.24 / $386.03	Professional		$237.59	$300.24	$386.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $250.67 / $455.56	Professional		$182.21	$250.67	$455.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.01 / $294.16 / $549.52	Facility		$206.01	$294.16	$549.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $296.52 / $510.85	Professional		$213.64	$296.52	$510.85
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $5,997.00	Facility		$564.00	$2,064.00	$5,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $289.20 / $421.06	Professional		$196.32	$289.20	$421.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $207.99 / $289.08	Professional		$183.04	$207.99	$289.08