Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $2,965.00 / $6,972.82	Facility		$659.00	$2,965.00	$6,972.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.37 / $213.68 / $481.04	Professional		$182.37	$213.68	$481.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $188.25 / $230.14	Professional		$94.13	$188.25	$230.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,612.11 / $2,816.76 / $5,863.83	Facility		$1,612.11	$2,816.76	$5,863.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $194.59 / $310.05	Professional		$156.34	$194.59	$310.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $356.80 / $1,512.61 / $6,050.42	Facility		$356.80	$1,512.61	$6,050.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $393.16 / $393.16 / $434.72	Professional		$393.16	$393.16	$434.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $1,592.76 / $1,592.76	Facility		$177.56	$1,592.76	$1,592.76
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 $203.88 / $265.68 / $411.35	Professional		$203.88	$265.68	$411.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $16,394.00 / $16,394.00	Facility		$5,444.45	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.00 / $1,656.00 / $1,656.00	Professional		$1,656.00	$1,656.00	$1,656.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.34 / $257.04 / $435.49	Facility		$195.34	$257.04	$435.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.04 / $295.45 / $347.60	Professional		$251.04	$295.45	$347.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,426.44 / $1,855.09 / $5,746.67	Facility		$1,426.44	$1,855.09	$5,746.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $207.07 / $291.80	Professional		$194.34	$207.07	$291.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.29 / $257.83 / $501.13	Facility		$194.29	$257.83	$501.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $270.75 / $447.54	Professional		$203.88	$270.75	$447.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,081.00 / $8,226.00	Facility		$1,284.00	$4,081.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $225.45 / $357.09	Professional		$161.83	$225.45	$357.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $188.25 / $260.83	Professional		$164.81	$188.25	$260.83