Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,174.00 / $9,961.00	Facility		$748.00	$3,174.00	$9,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $300.93 / $505.16	Professional		$276.08	$300.93	$505.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $379.12 / $379.12 / $379.12	Professional		$379.12	$379.12	$379.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,521.10 / $4,708.92 / $8,995.25	Facility		$2,521.10	$4,708.92	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.39 / $328.04 / $457.04	Professional		$257.39	$328.04	$457.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $3,494.16 / $7,605.61	Facility		$673.20	$3,494.16	$7,605.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $567.59 / $622.05 / $622.05	Professional		$567.59	$622.05	$622.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $250.76 / $2,684.09 / $2,684.09	Facility		$250.76	$2,684.09	$2,684.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.24 / $389.70 / $637.92	Professional		$297.24	$389.70	$637.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,506.00 / $3,506.00 / $3,506.00	Professional		$3,506.00	$3,506.00	$3,506.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.61 / $384.60 / $784.99	Facility		$281.61	$384.60	$784.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $423.14 / $514.40	Professional		$359.53	$423.14	$514.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $681.30 / $681.30 / $681.30	Professional		$681.30	$681.30	$681.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.61 / $390.65 / $784.99	Facility		$281.61	$390.65	$784.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.42 / $396.24 / $668.00	Professional		$299.42	$396.24	$668.00
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 $239.92 / $329.89 / $509.83	Professional		$239.92	$329.89	$509.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.04 / $270.80 / $373.23	Professional		$236.04	$270.80	$373.23