Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.79 / $2,128.00 / $6,407.09	Facility		$428.79	$2,128.00	$6,407.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $256.77 / $426.62	Professional		$84.52	$256.77	$426.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $99.73 / $159.99	Professional		$74.66	$99.73	$159.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.90 / $2,072.63 / $4,213.88	Facility		$1,056.90	$2,072.63	$4,213.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $222.04 / $387.66	Professional		$80.06	$222.04	$387.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $439.56 / $1,785.15 / $4,100.00	Facility		$439.56	$1,785.15	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $69.81 / $188.12	Professional		$45.13	$69.81	$188.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $1,411.96 / $1,411.96	Facility		$75.44	$1,411.96	$1,411.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.37 / $1,016.69 / $1,652.00	Facility		$766.37	$1,016.69	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $221.46 / $524.90	Professional		$101.39	$221.46	$524.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $493.25 / $11,500.00 / $12,000.00	Facility		$493.25	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.99 / $2,242.03 / $2,465.03	Professional		$1,094.99	$2,242.03	$2,465.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.24 / $242.38 / $524.36	Facility		$88.24	$242.38	$524.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $312.76 / $511.79	Professional		$108.91	$312.76	$511.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $303.27 / $700.30	Professional		$83.90	$303.27	$700.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.24 / $251.65 / $560.12	Facility		$88.24	$251.65	$560.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.54 / $251.38 / $654.04	Professional		$105.54	$251.38	$654.04
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 $248.50 / $335.36 / $554.79	Professional		$248.50	$335.36	$554.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.67 / $283.95 / $385.91	Professional		$242.67	$283.95	$385.91