Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,124.00 / $7,513.00	Facility		$500.00	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $538.59 / $807.25	Professional		$135.44	$538.59	$807.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $136.61 / $515.26	Professional		$127.04	$136.61	$515.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $9,704.00 / $14,754.00	Facility		$1,845.00	$9,704.00	$14,754.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $433.34 / $756.58	Professional		$131.80	$433.34	$756.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $141.10 / $4,590.18	Facility		$141.10	$141.10	$4,590.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $179.96 / $284.44	Professional		$152.27	$179.96	$284.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.01 / $599.41 / $599.41	Facility		$126.01	$599.41	$599.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $298.48 / $1,129.29	Professional		$159.32	$298.48	$1,129.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $681.63	Facility		$55.00	$55.00	$681.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,120.06 / $4,026.48 / $4,749.89	Professional		$2,120.06	$4,026.48	$4,749.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.04 / $464.31 / $973.46	Facility		$146.04	$464.31	$973.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $686.76 / $953.82	Professional		$180.82	$686.76	$953.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $530.19 / $1,056.49	Professional		$144.63	$530.19	$1,056.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.04 / $520.23 / $1,142.96	Facility		$146.04	$520.23	$1,142.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $413.82 / $1,161.27	Professional		$159.32	$413.82	$1,161.27
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.66 / $745.00 / $1,191.67	Professional		$560.66	$745.00	$1,191.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $465.18 / $520.23 / $738.75	Professional		$465.18	$520.23	$738.75