Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.86 / $2,276.00 / $7,293.00	Facility		$577.86	$2,276.00	$7,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $464.36 / $678.86	Professional		$123.65	$464.36	$678.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $115.11 / $457.77	Professional		$115.11	$115.11	$457.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,166.71 / $2,154.98 / $4,296.24	Facility		$1,166.71	$2,154.98	$4,296.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $369.08 / $663.81	Professional		$100.10	$369.08	$663.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $439.56 / $1,785.15 / $4,283.39	Facility		$439.56	$1,785.15	$4,283.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $1,330.94 / $1,330.94	Facility		$108.72	$1,330.94	$1,330.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $327.55 / $920.92	Professional		$143.81	$327.55	$920.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $997.22 / $12,000.00 / $12,000.00	Facility		$997.22	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.64 / $3,562.64 / $4,166.85	Professional		$1,844.64	$3,562.64	$4,166.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.83 / $283.47 / $898.48	Facility		$132.83	$283.47	$898.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $528.02 / $864.04	Professional		$157.27	$528.02	$864.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.50 / $218.50 / $218.50	Professional		$218.50	$218.50	$218.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.83 / $290.14 / $964.21	Facility		$132.83	$290.14	$964.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.99 / $388.26 / $978.84	Professional		$143.99	$388.26	$978.84
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.35 / $581.87 / $922.89	Professional		$234.35	$581.87	$922.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.68 / $457.77 / $651.66	Professional		$409.68	$457.77	$651.66