Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,594.00 / $7,542.00	Facility		$632.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $156.51 / $231.17	Professional		$142.83	$156.51	$231.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $175.84 / $175.84	Professional		$175.84	$175.84	$175.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.91 / $4,408.64 / $9,627.04	Facility		$2,206.91	$4,408.64	$9,627.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $165.98 / $235.87	Professional		$139.09	$165.98	$235.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $300.04 / $330.26	Professional		$300.04	$300.04	$330.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $135.53	Facility		$132.90	$132.90	$135.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.03 / $1,611.90 / $3,125.00	Facility		$1,215.03	$1,611.90	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $210.62 / $335.57	Professional		$160.37	$210.62	$335.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,482.70	Facility		$55.00	$55.00	$6,482.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.11 / $1,123.35 / $1,256.03	Professional		$1,101.11	$1,123.35	$1,256.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.72 / $169.02 / $341.51	Facility		$143.72	$169.02	$341.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $224.68 / $273.14	Professional		$168.88	$224.68	$273.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $307.10 / $382.20	Professional		$4.00	$307.10	$382.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.72 / $172.46 / $390.44	Facility		$143.72	$172.46	$390.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $223.71 / $381.29	Professional		$163.72	$223.71	$381.29
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $176.26 / $272.41	Professional		$128.19	$176.26	$272.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $146.66 / $198.15	Professional		$125.33	$146.66	$198.15