Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.78 / $2,124.00 / $6,762.00	Facility		$377.78	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $265.89 / $454.08	Professional		$162.02	$265.89	$454.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $166.19 / $290.60	Professional		$116.33	$166.19	$290.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,969.11 / $3,610.04 / $7,294.23	Facility		$1,969.11	$3,610.04	$7,294.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $275.01 / $425.43	Professional		$159.44	$275.01	$425.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $118.93 / $173.36	Professional		$95.56	$118.93	$173.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $2,771.81 / $2,771.81	Facility		$162.26	$2,771.81	$2,771.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $1,818.57 / $2,361.01	Facility		$1,322.00	$1,818.57	$2,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $320.11 / $519.39	Professional		$191.37	$320.11	$519.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.11 / $11,500.00 / $12,000.00	Facility		$1,197.11	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,259.59 / $2,230.64 / $2,641.73	Professional		$1,259.59	$2,230.64	$2,641.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.22 / $281.80 / $474.64	Facility		$167.22	$281.80	$474.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.44 / $340.00 / $544.97	Professional		$222.44	$340.00	$544.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.03 / $342.14 / $705.04	Professional		$181.03	$342.14	$705.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.35 / $286.22 / $508.55	Facility		$167.35	$286.22	$508.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.43 / $353.45 / $626.64	Professional		$199.43	$353.45	$626.64
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 $223.06 / $304.24 / $497.43	Professional		$223.06	$304.24	$497.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $290.60 / $409.27	Professional		$258.39	$290.60	$409.27