Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,992.00 / $5,906.00	Facility		$500.00	$1,992.00	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $348.30 / $820.30	Professional		$62.41	$348.30	$820.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $56.11 / $108.12	Professional		$56.11	$56.11	$108.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.89 / $1,100.36 / $2,483.51	Facility		$675.89	$1,100.36	$2,483.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $442.37 / $772.34	Professional		$60.33	$442.37	$772.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $901.67 / $1,384.32	Facility		$624.36	$901.67	$1,384.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $63.96 / $127.92	Professional		$33.92	$63.96	$127.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $363.56 / $363.56	Facility		$55.88	$363.56	$363.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.67 / $722.59 / $1,652.00	Facility		$544.67	$722.59	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $178.17 / $1,119.15	Professional		$74.00	$178.17	$1,119.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,033.46	Facility		$55.00	$55.00	$1,033.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,100.21 / $4,282.53 / $4,783.20	Professional		$2,100.21	$4,282.53	$4,783.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $493.19 / $1,078.02	Facility		$64.73	$493.19	$1,078.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $603.46 / $987.48	Professional		$81.58	$603.46	$987.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,001.00 / $1,712.70	Professional		$4.00	$1,001.00	$1,712.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $503.54 / $1,145.88	Facility		$64.81	$503.54	$1,145.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $218.13 / $1,320.44	Professional		$75.52	$218.13	$1,320.44
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.63 / $744.74 / $1,188.52	Professional		$541.63	$744.74	$1,188.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $468.21 / $547.57 / $745.12	Professional		$468.21	$547.57	$745.12