Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.02 / $2,444.00 / $7,408.00	Facility		$444.02	$2,444.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $316.42 / $533.40	Professional		$162.68	$316.42	$533.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.94 / $416.94 / $427.16	Professional		$416.94	$416.94	$427.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,558.96 / $2,745.90 / $5,367.80	Facility		$1,558.96	$2,745.90	$5,367.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $317.72 / $582.17	Professional		$153.46	$317.72	$582.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,535.81 / $2,023.46 / $2,692.91	Facility		$1,535.81	$2,023.46	$2,692.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $211.67 / $332.84	Professional		$162.82	$211.67	$332.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $146.75 / $1,760.12 / $1,760.12	Facility		$146.75	$1,760.12	$1,760.12
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 $188.58 / $366.17 / $583.27	Professional		$188.58	$366.17	$583.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,600.00 / $2,600.00	Facility		$55.00	$2,600.00	$2,600.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.67 / $2,634.40 / $3,074.63	Professional		$1,390.67	$2,634.40	$3,074.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.58 / $357.91 / $597.45	Facility		$167.58	$357.91	$597.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.94 / $461.29 / $638.71	Professional		$211.94	$461.29	$638.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $401.40 / $401.40	Professional		$401.40	$401.40	$401.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.58 / $362.56 / $706.99	Facility		$167.58	$362.56	$706.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $380.69 / $634.20	Professional		$191.34	$380.69	$634.20
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,050.00 / $4,509.00	Facility		$564.00	$2,050.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.27 / $382.56 / $612.66	Professional		$272.27	$382.56	$612.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.85 / $340.87 / $480.56	Professional		$302.85	$340.87	$480.56