Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,500.00 / $7,495.00	Facility		$524.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $282.42 / $632.14	Professional		$162.75	$282.42	$632.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $199.24 / $286.98	Professional		$150.06	$199.24	$286.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,199.20 / $2,367.25 / $4,718.92	Facility		$1,199.20	$2,367.25	$4,718.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $359.37 / $578.92	Professional		$154.69	$359.37	$578.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $233.59 / $316.61	Professional		$163.22	$233.59	$316.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $149.90 / $1,104.92 / $1,104.92	Facility		$149.90	$1,104.92	$1,104.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.02 / $1,240.44 / $2,213.00	Facility		$935.02	$1,240.44	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.03 / $327.12 / $672.96	Professional		$189.03	$327.12	$672.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.52 / $11,500.00 / $16,394.00	Facility		$1,148.52	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.00 / $3,159.52 / $3,713.40	Professional		$1,819.00	$3,159.52	$3,713.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.09 / $293.47 / $662.13	Facility		$167.09	$293.47	$662.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $469.67 / $768.55	Professional		$212.77	$469.67	$768.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $386.50 / $764.06	Professional		$166.23	$386.50	$764.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.35 / $310.72 / $679.15	Facility		$167.35	$310.72	$679.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.50 / $401.59 / $881.19	Professional		$197.50	$401.59	$881.19
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.31 / $421.33 / $694.97	Professional		$192.31	$421.33	$694.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.41 / $426.00 / $578.48	Professional		$364.41	$426.00	$578.48