Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.01 / $2,500.00 / $7,316.00	Facility		$257.01	$2,500.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $208.63 / $301.10	Professional		$134.16	$208.63	$301.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $137.97 / $207.06	Professional		$137.97	$137.97	$207.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.53 / $1,068.54 / $2,955.17	Facility		$556.53	$1,068.54	$2,955.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $203.28 / $337.13	Professional		$133.04	$203.28	$337.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $331.30 / $783.43 / $2,309.59	Facility		$331.30	$783.43	$2,309.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $212.18 / $255.26	Professional		$153.43	$212.18	$255.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.87 / $129.87 / $129.87	Facility		$129.87	$129.87	$129.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Facility		$453.50	$453.50	$453.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $246.19 / $404.79	Professional		$160.00	$246.19	$404.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $720.15 / $16,394.00 / $16,394.00	Facility		$720.15	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.88 / $1,672.81 / $1,847.93	Professional		$1,060.88	$1,672.81	$1,847.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $239.00 / $476.45	Facility		$142.93	$239.00	$476.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $262.91 / $386.03	Professional		$183.76	$262.91	$386.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $227.77 / $402.80	Professional		$142.13	$227.77	$402.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $241.79 / $481.95	Facility		$142.93	$241.79	$481.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $254.68 / $442.90	Professional		$162.72	$254.68	$442.90
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 $181.60 / $249.70 / $396.34	Professional		$181.60	$249.70	$396.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $207.06 / $290.33	Professional		$183.04	$207.06	$290.33