Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,572.00 / $7,495.00	Facility		$617.00	$2,572.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $293.74 / $437.93	Professional		$263.41	$293.74	$437.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $405.13	Professional		$281.33	$281.33	$405.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.77 / $2,413.96 / $5,253.00	Facility		$1,214.77	$2,413.96	$5,253.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.34 / $303.51 / $441.71	Professional		$254.34	$303.51	$441.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $305.22 / $388.14 / $538.17	Professional		$305.22	$388.14	$538.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $244.77 / $1,121.21 / $1,121.21	Facility		$244.77	$1,121.21	$1,121.21
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 $292.39 / $394.23 / $603.72	Professional		$292.39	$394.23	$603.72
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 $2,230.64 / $2,230.64 / $2,318.40	Professional		$2,230.64	$2,230.64	$2,318.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.64 / $354.60 / $635.23	Facility		$273.64	$354.60	$635.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.10 / $415.23 / $504.79	Professional		$312.10	$415.23	$504.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.37 / $474.51 / $705.20	Professional		$294.37	$474.51	$705.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.81 / $359.54 / $651.46	Facility		$273.81	$359.54	$651.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.35 / $414.68 / $700.97	Professional		$299.35	$414.68	$700.97
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 $236.74 / $320.75 / $503.08	Professional		$236.74	$320.75	$503.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.62 / $271.14 / $366.43	Professional		$231.62	$271.14	$366.43