Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.27 / $2,538.00 / $7,123.90	Facility		$308.27	$2,538.00	$7,123.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.32 / $255.05 / $420.94	Professional		$185.32	$255.05	$420.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $116.75 / $116.75	Professional		$116.75	$116.75	$116.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,629.83 / $2,799.05 / $5,438.66	Facility		$1,629.83	$2,799.05	$5,438.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $253.04 / $397.09	Professional		$183.78	$253.04	$397.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $854.30 / $2,250.00	Facility		$147.18	$854.30	$2,250.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $375.32 / $413.61 / $469.00	Professional		$375.32	$413.61	$469.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $180.74 / $180.74	Facility		$180.74	$180.74	$180.74
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 $219.06 / $304.56 / $505.18	Professional		$219.06	$304.56	$505.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.20 / $16,394.00 / $16,394.00	Facility		$1,003.20	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,467.60 / $1,863.68 / $2,149.94	Professional		$1,467.60	$1,863.68	$2,149.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.65 / $284.39 / $526.01	Facility		$195.65	$284.39	$526.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.83 / $324.64 / $449.50	Professional		$254.83	$324.64	$449.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $308.39 / $308.39	Professional		$308.39	$308.39	$308.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.03 / $287.45 / $565.83	Facility		$194.03	$287.45	$565.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $317.64 / $533.91	Professional		$222.20	$317.64	$533.91
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 $213.36 / $293.37 / $464.59	Professional		$213.36	$293.37	$464.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.12 / $241.74 / $337.78	Professional		$213.12	$241.74	$337.78