Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,800.00 / $6,021.00	Facility		$471.00	$1,800.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $676.00 / $1,067.03	Professional		$130.71	$676.00	$1,067.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.03 / $122.49 / $248.15	Professional		$110.03	$122.49	$248.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.67 / $1,194.59 / $2,612.11	Facility		$662.67	$1,194.59	$2,612.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $597.91 / $1,151.99	Professional		$123.12	$597.91	$1,151.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $216.71 / $291.24	Professional		$127.25	$216.71	$291.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.81 / $115.81 / $698.76	Facility		$115.81	$115.81	$698.76
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 $154.49 / $328.00 / $1,470.49	Professional		$154.49	$328.00	$1,470.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,221.34	Facility		$55.00	$55.00	$1,221.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.22 / $5,504.86 / $6,204.53	Professional		$2,737.22	$5,504.86	$6,204.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.76 / $643.07 / $1,373.92	Facility		$134.76	$643.07	$1,373.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $784.92 / $1,284.41	Professional		$168.21	$784.92	$1,284.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,288.40 / $2,211.90	Professional		$4.00	$1,288.40	$2,211.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.76 / $655.81 / $1,447.02	Facility		$134.76	$655.81	$1,447.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $380.00 / $1,745.73	Professional		$158.97	$380.00	$1,745.73
United Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $2,250.00 / $4,739.00	Facility		$722.00	$2,250.00	$4,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.62 / $969.77 / $1,564.79	Professional		$718.62	$969.77	$1,564.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $712.44 / $968.91	Professional		$609.00	$712.44	$968.91