Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.08 / $590.44 / $4,218.00	Facility		$101.08	$590.44	$4,218.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $100.99 / $181.97	Professional		$80.00	$100.99	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $123.84 / $123.84	Professional		$123.84	$123.84	$123.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,096.38 / $3,872.05 / $7,494.30	Facility		$2,096.38	$3,872.05	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $82.18 / $159.15	Professional		$72.81	$82.18	$159.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $107.04 / $107.04	Professional		$107.04	$107.04	$107.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $91.93 / $91.93	Facility		$91.93	$91.93	$91.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $4,390.00	Facility		$2,403.30	$2,403.30	$4,390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $137.09 / $211.67	Professional		$99.14	$137.09	$211.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,496.40	Facility		$55.00	$55.00	$9,496.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $136.51 / $286.91	Facility		$97.31	$136.51	$286.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $152.91 / $185.91	Professional		$129.94	$152.91	$185.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $172.60 / $172.60	Professional		$172.60	$172.60	$172.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.35 / $137.82 / $286.91	Facility		$97.35	$137.82	$286.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $138.74 / $226.73	Professional		$99.52	$138.74	$226.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $119.75 / $184.06	Professional		$86.62	$119.75	$184.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $97.31 / $133.22	Professional		$85.30	$97.31	$133.22