Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.12 / $2,901.00 / $8,780.00	Facility		$547.12	$2,901.00	$8,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.68 / $499.66 / $849.70	Professional		$330.68	$499.66	$849.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $372.16 / $479.67	Professional		$307.88	$372.16	$479.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.30 / $3,612.38 / $7,196.63	Facility		$1,995.30	$3,612.38	$7,196.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.42 / $482.94 / $696.11	Professional		$328.42	$482.94	$696.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,637.41 / $6,577.60	Facility		$675.00	$2,637.41	$6,577.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $399.82 / $486.74 / $580.41	Professional		$399.82	$486.74	$580.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $341.36 / $2,516.64 / $2,516.64	Facility		$341.36	$2,516.64	$2,516.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $2,006.70 / $2,530.00	Facility		$1,512.62	$2,006.70	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.28 / $563.03 / $938.61	Professional		$377.28	$563.03	$938.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,446.56 / $11,500.00 / $26,542.00	Facility		$2,446.56	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.00 / $3,739.28 / $4,415.63	Professional		$2,602.00	$3,739.28	$4,415.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $348.58 / $519.67 / $890.64	Facility		$348.58	$519.67	$890.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.73 / $633.59 / $912.37	Professional		$453.73	$633.59	$912.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $373.64 / $579.71 / $1,010.38	Professional		$373.64	$579.71	$1,010.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.74 / $522.54 / $987.85	Facility		$351.74	$522.54	$987.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.54 / $612.05 / $1,103.01	Professional		$389.54	$612.05	$1,103.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.76 / $545.54 / $866.20	Professional		$401.76	$545.54	$866.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $432.60 / $505.21 / $684.94	Professional		$432.60	$505.21	$684.94