Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,445.00 / $11,086.00	Facility		$748.00	$3,445.00	$11,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.22 / $276.02 / $403.29	Professional		$253.22	$276.02	$403.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.48 / $333.48 / $333.48	Professional		$333.48	$333.48	$333.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.85 / $2,834.48 / $5,863.83	Facility		$1,627.85	$2,834.48	$5,863.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.69 / $300.38 / $418.50	Professional		$235.69	$300.38	$418.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $2,288.00 / $7,063.50	Facility		$673.20	$2,288.00	$7,063.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $519.63 / $571.10 / $571.10	Professional		$519.63	$571.10	$571.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $230.05 / $1,921.66 / $1,921.66	Facility		$230.05	$1,921.66	$1,921.66
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 $271.02 / $354.48 / $554.79	Professional		$271.02	$354.48	$554.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $26,542.00 / $26,542.00	Facility		$5,444.45	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,594.00 / $2,807.58 / $2,900.23	Professional		$2,594.00	$2,807.58	$2,900.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.29 / $354.87 / $719.96	Facility		$258.29	$354.87	$719.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $330.10 / $388.50 / $457.06	Professional		$330.10	$388.50	$457.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $632.60 / $632.60 / $632.60	Professional		$632.60	$632.60	$632.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.29 / $360.07 / $719.96	Facility		$258.29	$360.07	$719.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $363.33 / $608.79	Professional		$272.14	$363.33	$608.79
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 $207.36 / $300.79 / $467.50	Professional		$207.36	$300.79	$467.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.71 / $248.62 / $342.66	Professional		$216.71	$248.62	$342.66