Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.88 / $2,080.00 / $7,316.00	Facility		$389.88	$2,080.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $341.94 / $549.74	Professional		$135.27	$341.94	$549.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.67 / $354.67 / $354.67	Professional		$354.67	$354.67	$354.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.55 / $484.38 / $1,841.91	Facility		$299.55	$484.38	$1,841.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $276.10 / $495.86	Professional		$129.47	$276.10	$495.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $970.49 / $1,878.02 / $3,336.30	Facility		$970.49	$1,878.02	$3,336.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $819.73 / $819.73	Facility		$130.94	$819.73	$819.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $248.99 / $248.99	Facility		$248.99	$248.99	$248.99
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.49 / $310.39 / $658.45	Professional		$161.49	$310.39	$658.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $732.83	Facility		$55.00	$55.00	$732.83
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $534.08 / $586.26 / $586.26	Facility	52	$534.08	$586.26	$586.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.64 / $1,213.58 / $3,207.75	Professional		$1,076.64	$1,213.58	$3,207.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $333.54 / $596.97	Facility		$139.16	$333.54	$596.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $426.29 / $667.24	Professional		$185.45	$426.29	$667.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $383.04 / $797.61	Professional		$144.51	$383.04	$797.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $333.54 / $618.89	Facility		$139.22	$333.54	$618.89
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.49 / $319.36 / $740.48	Professional		$161.49	$319.36	$740.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.58 / $435.93 / $709.85	Professional		$331.58	$435.93	$709.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.37 / $354.67 / $503.06	Professional		$316.37	$354.67	$503.06