Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.10 / $1,937.00 / $6,000.00	Facility		$393.10	$1,937.00	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $271.63 / $452.73	Professional		$115.79	$271.63	$452.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $112.98 / $126.54	Professional		$67.48	$112.98	$126.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.86 / $1,556.54 / $3,364.14	Facility		$858.86	$1,556.54	$3,364.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $245.03 / $396.00	Professional		$109.22	$245.03	$396.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,012.74 / $1,418.50	Facility		$225.00	$1,012.74	$1,418.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $167.55 / $236.62	Professional		$129.93	$167.55	$236.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.89 / $1,303.83 / $1,303.83	Facility		$106.89	$1,303.83	$1,303.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $1,652.00	Facility		$684.87	$908.58	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $269.02 / $507.93	Professional		$138.49	$269.02	$507.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $678.85 / $11,500.00 / $12,000.00	Facility		$678.85	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $2,124.71 / $2,488.13	Professional		$1,350.00	$2,124.71	$2,488.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.59 / $291.72 / $491.26	Facility		$121.59	$291.72	$491.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $315.25 / $515.86	Professional		$150.54	$315.25	$515.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $316.50 / $656.10	Professional		$127.15	$316.50	$656.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.59 / $298.63 / $531.47	Facility		$121.59	$298.63	$531.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $305.05 / $635.71	Professional		$144.51	$305.05	$635.71
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 $246.35 / $320.62 / $513.37	Professional		$246.35	$320.62	$513.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.60 / $286.04 / $388.44	Professional		$244.60	$286.04	$388.44