Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,594.00 / $7,542.00	Facility		$649.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $339.83 / $527.91	Professional		$295.83	$339.83	$527.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $159.97 / $159.97	Professional		$159.97	$159.97	$159.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.86 / $549.26 / $1,789.31	Facility		$326.86	$549.26	$1,789.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $367.53 / $538.86	Professional		$276.33	$367.53	$538.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $365.73 / $463.59 / $1,199.81	Professional		$365.73	$463.59	$1,199.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.05 / $456.23 / $710.34	Professional		$339.05	$456.23	$710.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,217.50	Facility		$55.00	$55.00	$4,217.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.88 / $2,806.88 / $2,852.03	Professional		$2,806.88	$2,806.88	$2,852.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.79 / $432.22 / $764.15	Facility		$327.79	$432.22	$764.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $427.65 / $503.31 / $611.87	Professional		$427.65	$503.31	$611.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $342.30 / $342.30 / $342.30	Professional		$342.30	$342.30	$342.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.79 / $441.61 / $870.97	Facility		$327.79	$441.61	$870.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.95 / $465.22 / $753.83	Professional		$339.95	$465.22	$753.83
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $369.30 / $592.04	Professional		$267.95	$369.30	$592.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.76 / $319.95 / $443.14	Professional		$280.76	$319.95	$443.14