Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.98 / $2,747.00 / $7,495.00	Facility		$463.98	$2,747.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $273.08 / $454.08	Professional		$145.43	$273.08	$454.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $302.14 / $393.68	Professional		$100.13	$302.14	$393.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,541.25 / $2,745.90 / $5,821.21	Facility		$1,541.25	$2,745.90	$5,821.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $255.65 / $423.92	Professional		$133.08	$255.65	$423.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $294.36 / $1,530.80 / $2,455.87	Facility		$294.36	$1,530.80	$2,455.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $381.36 / $626.85	Professional		$293.35	$381.36	$626.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.51 / $1,728.26 / $1,728.26	Facility		$132.51	$1,728.26	$1,728.26
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 $168.16 / $309.33 / $492.02	Professional		$168.16	$309.33	$492.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $736.49 / $16,394.00 / $16,394.00	Facility		$736.49	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,402.00 / $2,544.21 / $2,544.21	Professional		$1,402.00	$2,544.21	$2,544.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $302.63 / $538.38	Facility		$157.24	$302.63	$538.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $380.13 / $526.34	Professional		$190.07	$380.13	$526.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.98 / $735.93 / $3,382.43	Facility		$537.98	$735.93	$3,382.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $790.70 / $790.70 / $790.70	Professional		$790.70	$790.70	$790.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $308.47 / $566.17	Facility		$157.24	$308.47	$566.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $315.56 / $525.40	Professional		$171.46	$315.56	$525.40
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 $215.12 / $308.88 / $505.70	Professional		$215.12	$308.88	$505.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $281.20 / $396.02	Professional		$249.56	$281.20	$396.02