Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $2,071.00 / $7,408.00	Facility		$487.00	$2,071.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $485.53 / $954.00	Professional		$153.63	$485.53	$954.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $318.95 / $623.55	Professional		$156.80	$318.95	$623.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.89 / $837.25 / $3,194.17	Facility		$412.89	$837.25	$3,194.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $503.34 / $903.97	Professional		$151.13	$503.34	$903.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $1,452.61 / $8,000.00	Facility		$748.00	$1,452.61	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $206.91 / $327.58	Professional		$172.48	$206.91	$327.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $145.31 / $1,900.23 / $1,900.23	Facility		$145.31	$1,900.23	$1,900.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $758.23 / $758.23	Facility		$283.56	$758.23	$758.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $377.79 / $1,044.01	Professional		$179.98	$377.79	$1,044.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,118.46 / $1,142.04	Facility		$55.00	$1,118.46	$1,142.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,536.63 / $4,830.88 / $5,696.33	Professional		$2,536.63	$4,830.88	$5,696.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.35 / $529.22 / $1,033.71	Facility		$163.35	$529.22	$1,033.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $817.15 / $1,215.92	Professional		$207.73	$817.15	$1,215.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.67 / $615.13 / $1,282.31	Professional		$167.67	$615.13	$1,282.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.64 / $556.53 / $1,160.69	Facility		$164.64	$556.53	$1,160.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.03 / $477.11 / $1,338.75	Professional		$186.03	$477.11	$1,338.75
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.38 / $712.05 / $1,190.46	Professional		$521.38	$712.05	$1,190.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $557.92 / $623.55 / $886.34	Professional		$557.92	$623.55	$886.34