Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.61 / $2,475.31 / $7,495.00	Facility		$376.61	$2,475.31	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $270.99 / $412.65	Professional		$127.85	$270.99	$412.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $169.16 / $169.16	Professional		$64.36	$169.16	$169.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,626.93 / $2,834.48 / $5,863.83	Facility		$1,626.93	$2,834.48	$5,863.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $255.73 / $445.90	Professional		$119.74	$255.73	$445.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $713.60 / $2,257.01 / $6,423.22	Facility		$713.60	$2,257.01	$6,423.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $289.64 / $289.64	Professional		$262.89	$289.64	$289.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.55 / $1,500.37 / $1,500.37	Facility		$117.55	$1,500.37	$1,500.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $272.73 / $475.35	Professional		$145.47	$272.73	$475.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.32 / $16,394.00 / $16,394.00	Facility		$652.32	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $2,383.65 / $3,552.73	Professional		$1,239.00	$2,383.65	$3,552.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.82 / $308.83 / $548.19	Facility		$138.82	$308.83	$548.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $302.80 / $495.49	Professional		$167.36	$302.80	$495.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $251.26 / $1,453.03 / $4,266.00	Facility		$251.26	$1,453.03	$4,266.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.30 / $368.30 / $368.30	Professional		$368.30	$368.30	$368.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.62 / $310.23 / $590.22	Facility		$139.62	$310.23	$590.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $285.00 / $496.60	Professional		$149.83	$285.00	$496.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.17 / $318.14 / $513.52	Professional		$229.17	$318.14	$513.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.93 / $264.24 / $372.98	Professional		$234.93	$264.24	$372.98