Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,640.00 / $7,316.00	Facility		$524.00	$2,640.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.53 / $349.31 / $511.26	Professional		$240.53	$349.31	$511.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $332.09 / $532.54	Professional		$273.39	$332.09	$532.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,386.41 / $6,279.16 / $11,447.73	Facility		$2,386.41	$6,279.16	$11,447.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.13 / $380.20 / $615.34	Professional		$261.13	$380.20	$615.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $212.50 / $1,613.55 / $3,668.60	Facility		$212.50	$1,613.55	$3,668.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $453.57 / $564.12 / $707.53	Professional		$453.57	$564.12	$707.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $236.29 / $5,958.75 / $5,958.75	Facility		$236.29	$5,958.75	$5,958.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $3,194.69	Facility		$3,194.69	$3,194.69	$3,194.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.20 / $455.44 / $749.84	Professional		$303.20	$455.44	$749.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.60 / $11,500.00 / $16,394.00	Facility		$1,331.60	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,954.00 / $4,954.00 / $4,954.00	Professional		$4,954.00	$4,954.00	$4,954.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.62 / $453.60 / $811.19	Facility		$283.62	$453.60	$811.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $510.91 / $707.42	Professional		$363.74	$510.91	$707.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $473.60 / $786.84	Professional		$307.83	$473.60	$786.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.98 / $457.11 / $814.43	Facility		$282.98	$457.11	$814.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.63 / $479.97 / $789.42	Professional		$305.63	$479.97	$789.42
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $18,325.00	Facility		$369.00	$1,529.00	$18,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.37 / $452.12 / $703.25	Professional		$334.37	$452.12	$703.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.42 / $392.90 / $532.45	Professional		$335.42	$392.90	$532.45