Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.56 / $1,800.00 / $5,404.00	Facility		$248.56	$1,800.00	$5,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $141.90 / $258.83	Professional		$76.70	$141.90	$258.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $43.79 / $93.33	Professional		$34.11	$43.79	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.89 / $1,233.89 / $2,664.27	Facility		$675.89	$1,233.89	$2,664.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $133.78 / $240.26	Professional		$72.15	$133.78	$240.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $402.71 / $2,050.00	Facility		$109.89	$402.71	$2,050.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $55.59 / $76.67	Professional		$43.11	$55.59	$76.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $390.51 / $390.51	Facility		$71.67	$390.51	$390.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.67 / $722.59 / $1,652.00	Facility		$544.67	$722.59	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $166.41 / $316.39	Professional		$89.96	$166.41	$316.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $632.59 / $11,500.00 / $12,000.00	Facility		$632.59	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $704.09 / $1,343.84 / $1,571.70	Professional		$704.09	$1,343.84	$1,571.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.04 / $171.50 / $296.58	Facility		$79.04	$171.50	$296.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $176.66 / $323.33	Professional		$88.49	$176.66	$323.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $405.36 / $1,291.00 / $3,419.00	Facility		$405.36	$1,291.00	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $175.37 / $436.80	Professional		$76.87	$175.37	$436.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $173.40 / $308.35	Facility		$79.23	$173.40	$308.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $189.77 / $406.71	Professional		$94.03	$189.77	$406.71
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 $137.09 / $190.36 / $295.20	Professional		$137.09	$190.36	$295.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $180.82 / $245.57	Professional		$154.60	$180.82	$245.57