Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.37 / $1,854.00 / $5,449.00	Facility		$516.37	$1,854.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $331.63 / $757.44	Professional		$188.12	$331.63	$757.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $207.45 / $330.97	Professional		$102.18	$207.45	$330.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,199.20 / $2,336.10 / $4,656.63	Facility		$1,199.20	$2,336.10	$4,656.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.91 / $390.35 / $635.59	Professional		$177.91	$390.35	$635.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,598.68 / $4,183.20	Facility		$545.00	$1,598.68	$4,183.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $187.56 / $268.20 / $512.90	Professional		$187.56	$268.20	$512.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $1,374.83 / $1,374.83	Facility		$170.20	$1,374.83	$1,374.83
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 $216.45 / $375.06 / $741.61	Professional		$216.45	$375.06	$741.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.78 / $11,500.00 / $16,394.00	Facility		$1,320.78	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,821.01 / $3,473.76 / $4,059.23	Professional		$1,821.01	$3,473.76	$4,059.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.43 / $340.73 / $733.27	Facility		$193.43	$340.73	$733.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.37 / $328.32 / $819.09	Professional		$206.37	$328.32	$819.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $174.22 / $1,291.00 / $2,958.00	Facility		$174.22	$1,291.00	$2,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $434.15 / $836.94	Professional		$189.24	$434.15	$836.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.43 / $356.22 / $762.98	Facility		$193.43	$356.22	$762.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.04 / $453.24 / $981.91	Professional		$226.04	$453.24	$981.91
United Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $2,272.00 / $4,739.00	Facility		$663.00	$2,272.00	$4,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.93 / $461.36 / $760.49	Professional		$221.93	$461.36	$760.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.47 / $467.24 / $634.46	Professional		$399.47	$467.24	$634.46