Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,682.00 / $10,520.00	Facility		$803.00	$3,682.00	$10,520.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.67 / $281.45 / $481.77	Professional		$248.67	$281.45	$481.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $304.77 / $304.77	Professional		$304.77	$304.77	$304.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,691.51 / $7,178.78 / $14,454.58	Facility		$3,691.51	$7,178.78	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $301.97 / $439.67	Professional		$229.41	$301.97	$439.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,779.48 / $7,331.30	Facility		$675.00	$3,779.48	$7,331.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $186.78 / $373.56	Professional		$186.78	$186.78	$373.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $237.34 / $237.34 / $238.50	Facility		$237.34	$237.34	$238.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $3,795.09 / $4,619.00	Facility		$2,500.00	$3,795.09	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $357.44 / $544.79	Professional		$267.27	$357.44	$544.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.72 / $2,020.72 / $2,302.65	Professional		$1,976.72	$2,020.72	$2,302.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.91 / $329.75 / $572.67	Facility		$258.91	$329.75	$572.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $407.30 / $495.15	Professional		$306.14	$407.30	$495.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $390.60 / $690.90	Professional		$5.00	$390.60	$690.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.16 / $334.92 / $587.30	Facility		$260.16	$334.92	$587.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $378.42 / $663.87	Professional		$274.95	$378.42	$663.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.11 / $284.95 / $455.94	Professional		$217.11	$284.95	$455.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.20 / $265.57 / $359.61	Professional		$227.20	$265.57	$359.61