Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.61 / $2,757.00 / $7,935.00	Facility		$184.61	$2,757.00	$7,935.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $112.28 / $191.90	Professional		$83.20	$112.28	$191.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $54.67 / $54.67	Professional		$54.67	$54.67	$54.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.81 / $6,661.56 / $12,900.05	Facility		$3,630.81	$6,661.56	$12,900.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $123.49 / $184.42	Professional		$77.09	$123.49	$184.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $3,961.53 / $13,481.52	Facility		$487.00	$3,961.53	$13,481.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $3,919.46 / $3,919.46	Facility		$81.44	$3,919.46	$3,919.46
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 $95.90 / $138.88 / $227.62	Professional		$95.90	$138.88	$227.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $540.40 / $26,542.00 / $26,542.00	Facility		$540.40	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $682.16 / $1,080.56 / $1,272.83	Professional		$682.16	$1,080.56	$1,272.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.63 / $133.56 / $234.56	Facility		$91.63	$133.56	$234.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $171.47 / $263.18	Professional		$119.85	$171.47	$263.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Professional		$150.50	$150.50	$150.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.87 / $134.72 / $254.10	Facility		$91.87	$134.72	$254.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $143.24 / $256.97	Professional		$95.90	$143.24	$256.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $122.96 / $205.74	Professional		$83.84	$122.96	$205.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $139.99 / $197.98	Professional		$124.79	$139.99	$197.98