Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.56 / $2,107.00 / $6,261.00	Facility		$360.56	$2,107.00	$6,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $333.07 / $522.98	Professional		$221.79	$333.07	$522.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $218.52 / $218.52	Professional		$218.52	$218.52	$218.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $917.66 / $1,606.75 / $3,511.46	Facility		$917.66	$1,606.75	$3,511.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.95 / $326.58 / $467.37	Professional		$211.95	$326.58	$467.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $156.41 / $188.53	Professional		$109.26	$156.41	$188.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.82 / $218.82 / $225.44	Facility		$218.82	$218.82	$225.44
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 $243.65 / $371.10 / $605.87	Professional		$243.65	$371.10	$605.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,578.66 / $11,500.00 / $12,000.00	Facility		$1,578.66	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.52 / $2,547.04 / $3,017.03	Professional		$1,659.52	$2,547.04	$3,017.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.13 / $345.03 / $586.75	Facility		$226.13	$345.03	$586.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $419.36 / $622.40	Professional		$293.10	$419.36	$622.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $459.26 / $939.40	Professional		$251.37	$459.26	$939.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.63 / $348.78 / $636.03	Facility		$227.63	$348.78	$636.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.21 / $412.24 / $739.86	Professional		$251.21	$412.24	$739.86
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 $267.97 / $367.06 / $584.16	Professional		$267.97	$367.06	$584.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $344.57 / $467.22	Professional		$295.11	$344.57	$467.22