Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,184.00 / $10,234.00	Facility		$748.00	$3,184.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.86 / $415.27 / $612.12	Professional		$349.86	$415.27	$612.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.95 / $349.89 / $354.94	Professional		$174.95	$349.89	$354.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,427.12 / $4,350.91 / $8,396.98	Facility		$2,427.12	$4,350.91	$8,396.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.58 / $428.95 / $584.52	Professional		$336.58	$428.95	$584.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $1,270.95 / $4,050.00	Facility		$168.30	$1,270.95	$4,050.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $195.91 / $231.53 / $367.39	Professional		$195.91	$231.53	$367.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $2,754.48 / $2,754.48	Facility		$338.16	$2,754.48	$2,754.48
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 $385.33 / $502.75 / $764.17	Professional		$385.33	$502.75	$764.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $26,542.00 / $26,542.00	Facility		$9,011.04	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.23 / $2,673.28 / $3,161.48	Professional		$2,608.23	$2,673.28	$3,161.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.04 / $470.67 / $827.44	Facility		$366.04	$470.67	$827.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.89 / $538.58 / $646.29	Professional		$349.89	$538.58	$646.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $449.99 / $666.21 / $1,356.16	Professional		$449.99	$666.21	$1,356.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.04 / $485.44 / $1,038.97	Facility		$366.04	$485.44	$1,038.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.33 / $517.53 / $820.11	Professional		$385.33	$517.53	$820.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.54 / $411.53 / $658.27	Professional		$313.54	$411.53	$658.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $306.44 / $349.89 / $480.86	Professional		$306.44	$349.89	$480.86