Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $3,596.00 / $10,200.00	Facility		$777.00	$3,596.00	$10,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.44 / $225.16 / $592.79	Professional		$196.44	$225.16	$592.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $185.80 / $2,789.16	Professional		$102.09	$185.80	$2,789.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,136.60 / $4,086.09 / $7,831.68	Facility		$2,136.60	$4,086.09	$7,831.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $227.29 / $331.78	Professional		$193.56	$227.29	$331.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $2,579.73 / $7,558.96	Facility		$831.60	$2,579.73	$7,558.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $243.11 / $296.06	Professional		$148.03	$243.11	$296.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.19 / $2,107.27 / $2,107.27	Facility		$190.19	$2,107.27	$2,107.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $3,125.00	Facility		$1,508.82	$2,001.65	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.99 / $283.70 / $442.25	Professional		$213.99	$283.70	$442.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $11,500.00 / $26,542.00	Facility		$7,909.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,567.36 / $1,603.12 / $1,828.58	Professional		$1,567.36	$1,603.12	$1,828.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.02 / $261.89 / $454.59	Facility		$205.02	$261.89	$454.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $316.83 / $392.87	Professional		$204.18	$316.83	$392.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $280.60 / $548.10	Professional		$5.00	$280.60	$548.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.35 / $265.43 / $465.31	Facility		$205.35	$265.43	$465.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.38 / $300.41 / $525.27	Professional		$218.38	$300.41	$525.27
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 $171.78 / $226.81 / $364.55	Professional		$171.78	$226.81	$364.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $210.70 / $285.39	Professional		$180.27	$210.70	$285.39