Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,792.00 / $10,893.00	Facility		$828.00	$3,792.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $374.29 / $581.97	Professional		$326.33	$374.29	$581.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $321.33 / $353.13	Professional		$321.33	$321.33	$353.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,492.25 / $14,501.13	Facility		$4,156.99	$7,492.25	$14,501.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.29 / $372.52 / $593.54	Professional		$299.29	$372.52	$593.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $203.05 / $317.82	Professional		$203.05	$203.05	$317.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $325.89 / $325.89 / $325.89	Facility		$325.89	$325.89	$325.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $9,229.00	Facility		$4,105.82	$4,105.82	$9,229.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $507.88 / $768.42	Professional		$373.53	$507.88	$768.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.88 / $2,806.88 / $3,147.90	Professional		$2,806.88	$2,806.88	$3,147.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $482.63 / $816.08	Facility		$361.58	$482.63	$816.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $471.81 / $555.28 / $653.27	Professional		$471.81	$555.28	$653.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $528.29 / $528.29 / $528.29	Professional		$528.29	$528.29	$528.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $486.05 / $961.95	Facility		$361.58	$486.05	$961.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $522.40 / $789.23	Professional		$373.53	$522.40	$789.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.35 / $408.86 / $655.86	Professional		$289.35	$408.86	$655.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.75 / $353.13 / $488.74	Professional		$309.75	$353.13	$488.74