Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $2,500.00 / $5,906.00	Facility		$405.72	$2,500.00	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $298.27 / $452.27	Professional		$146.29	$298.27	$452.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $262.98 / $285.38	Professional		$200.97	$262.98	$285.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.21 / $2,799.05 / $5,863.83	Facility		$1,527.21	$2,799.05	$5,863.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $258.88 / $419.98	Professional		$126.03	$258.88	$419.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $1,535.81 / $3,061.59	Facility		$147.18	$1,535.81	$3,061.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $299.67 / $330.32 / $330.32	Professional		$299.67	$330.32	$330.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.32 / $1,756.42 / $1,756.42	Facility		$134.32	$1,756.42	$1,756.42
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 $169.10 / $336.87 / $536.20	Professional		$169.10	$336.87	$536.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $777.93 / $16,394.00 / $16,394.00	Facility		$777.93	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $2,569.80 / $3,913.13	Professional		$1,262.00	$2,569.80	$3,913.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.54 / $331.36 / $574.84	Facility		$154.54	$331.36	$574.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $326.63 / $534.49	Professional		$190.91	$326.63	$534.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $337.10 / $337.10 / $337.10	Professional		$337.10	$337.10	$337.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.46 / $333.44 / $650.47	Facility		$155.46	$333.44	$650.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.91 / $341.66 / $566.73	Professional		$171.91	$341.66	$566.73
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 $244.06 / $338.98 / $561.66	Professional		$244.06	$338.98	$561.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.43 / $285.38 / $402.23	Professional		$253.43	$285.38	$402.23