Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.11 / $2,620.00 / $8,590.00	Facility		$463.11	$2,620.00	$8,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $313.29 / $494.42	Professional		$192.01	$313.29	$494.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.22 / $231.22 / $263.66	Professional		$231.22	$231.22	$263.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.94 / $4,739.10 / $8,995.25	Facility		$2,595.94	$4,739.10	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $333.31 / $543.86	Professional		$181.93	$333.31	$543.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $243.50 / $2,288.00 / $8,715.36	Facility		$243.50	$2,288.00	$8,715.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $301.33 / $394.62 / $432.34	Professional		$301.33	$394.62	$432.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.61 / $2,883.01 / $2,883.01	Facility		$173.61	$2,883.01	$2,883.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,298.44 / $3,298.44 / $3,298.44	Facility		$3,298.44	$3,298.44	$3,298.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.21 / $356.06 / $555.94	Professional		$216.21	$356.06	$555.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $964.96 / $26,542.00 / $26,542.00	Facility		$964.96	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,318.00 / $3,318.00 / $3,318.00	Professional		$3,318.00	$3,318.00	$3,318.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $358.06 / $580.08	Facility		$210.91	$358.06	$580.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $442.38 / $612.52	Professional		$250.20	$442.38	$612.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $415.50 / $415.50	Professional		$415.50	$415.50	$415.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $361.42 / $681.19	Facility		$210.91	$361.42	$681.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $360.53 / $647.52	Professional		$222.01	$360.53	$647.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.43 / $359.56 / $592.80	Professional		$256.43	$359.56	$592.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.43 / $328.02 / $460.36	Professional		$290.43	$328.02	$460.36