Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.98 / $1,963.00 / $6,158.00	Facility		$331.98	$1,963.00	$6,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $245.75 / $479.87	Professional		$128.62	$245.75	$479.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $131.65 / $170.00	Professional		$119.80	$131.65	$170.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.85 / $3,586.60 / $7,155.30	Facility		$1,961.85	$3,586.60	$7,155.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $249.58 / $404.27	Professional		$127.12	$249.58	$404.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $532.79 / $2,586.23 / $6,047.46	Facility		$532.79	$2,586.23	$6,047.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $131.65 / $189.35 / $1,020.73	Professional		$131.65	$189.35	$1,020.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $3,387.43 / $3,387.43	Facility		$130.69	$3,387.43	$3,387.43
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 $149.63 / $288.45 / $486.83	Professional		$149.63	$288.45	$486.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $951.36 / $11,500.00 / $12,000.00	Facility		$951.36	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.99 / $2,216.71 / $2,626.65	Professional		$1,180.99	$2,216.71	$2,626.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $254.27 / $438.37	Facility		$135.03	$254.27	$438.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $330.90 / $541.48	Professional		$176.62	$330.90	$541.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $319.87 / $632.42	Professional		$146.16	$319.87	$632.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $260.57 / $467.32	Facility		$135.27	$260.57	$467.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $322.49 / $609.61	Professional		$156.35	$322.49	$609.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,293.00 / $7,600.00	Facility		$1,165.00	$3,293.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.23 / $302.58 / $469.84	Professional		$216.23	$302.58	$469.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $299.91 / $407.24	Professional		$256.74	$299.91	$407.24