Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.27 / $2,500.00 / $7,495.00	Facility		$196.27	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $170.82 / $280.75	Professional		$109.93	$170.82	$280.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.13 / $181.13 / $181.13	Professional		$181.13	$181.13	$181.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.23 / $1,274.92 / $2,720.37	Facility		$719.23	$1,274.92	$2,720.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $178.22 / $276.64	Professional		$115.41	$178.22	$276.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $442.10 / $1,117.11	Facility		$136.25	$442.10	$1,117.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $112.00 / $112.86	Facility		$80.00	$112.00	$112.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $214.88	Facility		$214.88	$214.88	$214.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $211.96 / $328.90	Professional		$138.43	$211.96	$328.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $869.40 / $11,500.00 / $16,394.00	Facility		$869.40	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,314.00 / $2,563.92 / $2,563.92	Professional		$2,314.00	$2,563.92	$2,563.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.55 / $192.76 / $308.39	Facility		$123.55	$192.76	$308.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $228.63 / $348.95	Professional		$159.80	$228.63	$348.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $213.73 / $428.37	Professional		$126.69	$213.73	$428.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.51 / $193.53 / $308.39	Facility		$124.51	$193.53	$308.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $220.95 / $362.88	Professional		$139.31	$220.95	$362.88
United Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $1,529.00 / $3,287.00	Facility		$383.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.06 / $197.41 / $307.52	Professional		$148.06	$197.41	$307.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.12 / $181.13 / $254.30	Professional		$160.12	$181.13	$254.30