Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,598.00 / $6,940.00	Facility		$632.00	$2,598.00	$6,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $164.22 / $271.51	Professional		$146.91	$164.22	$271.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $148.47 / $184.63	Professional		$74.23	$148.47	$184.63
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 $141.84 / $169.27 / $246.34	Professional		$141.84	$169.27	$246.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $170.75 / $217.45 / $294.70	Professional		$170.75	$217.45	$294.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $139.88	Facility		$138.29	$138.29	$139.88
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 $165.21 / $225.52 / $379.79	Professional		$165.21	$225.52	$379.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,901.45 / $11,500.00 / $16,394.00	Facility		$4,901.45	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,157.98 / $2,157.98 / $2,157.98	Professional		$2,157.98	$2,157.98	$2,157.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $199.97 / $364.38	Facility		$152.44	$199.97	$364.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $232.61 / $282.77	Professional		$167.23	$232.61	$282.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $193.02 / $322.50	Professional		$160.55	$193.02	$322.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.94 / $203.77 / $434.10	Facility		$152.94	$203.77	$434.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.81 / $237.10 / $410.33	Professional		$169.81	$237.10	$410.33
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 $131.97 / $181.42 / $280.38	Professional		$131.97	$181.42	$280.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $151.86 / $205.28	Professional		$129.75	$151.86	$205.28