Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,444.00 / $6,246.00	Facility		$669.00	$2,444.00	$6,246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.64 / $494.62 / $844.98	Professional		$433.64	$494.62	$844.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $244.03 / $320.16	Professional		$242.55	$244.03	$320.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,699.38 / $5,794.21	Facility		$1,530.22	$2,699.38	$5,794.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.69 / $561.80 / $800.07	Professional		$460.69	$561.80	$800.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $294.36 / $855.56 / $2,344.63	Facility		$294.36	$855.56	$2,344.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $287.80 / $502.16 / $835.56	Professional		$287.80	$502.16	$835.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $452.09 / $1,398.99 / $1,398.99	Facility		$452.09	$1,398.99	$1,398.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.94 / $576.94 / $576.94	Facility		$576.94	$576.94	$576.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.19 / $673.51 / $1,014.35	Professional		$509.19	$673.51	$1,014.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,897.68 / $11,500.00 / $16,394.00	Facility		$1,897.68	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $118.06 / $497.27 / $497.27	Facility	AS	$118.06	$497.27	$497.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,389.20 / $5,389.20 / $5,389.20	Professional		$5,389.20	$5,389.20	$5,389.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.08 / $586.12 / $1,025.65	Facility		$468.08	$586.12	$1,025.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.94 / $752.54 / $933.14	Professional		$576.94	$752.54	$933.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $500.07 / $832.87 / $1,822.79	Professional		$500.07	$832.87	$1,822.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $595.74 / $1,099.61	Facility		$469.00	$595.74	$1,099.61
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $191.82 / $191.82 / $191.82	Facility	80	$191.82	$191.82	$191.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $163.05	Facility	AS	$57.68	$57.68	$163.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.25 / $695.85 / $1,036.17	Professional		$517.25	$695.85	$1,036.17
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 $392.75 / $523.66 / $824.46	Professional		$392.75	$523.66	$824.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.18 / $485.09 / $677.92	Professional		$428.18	$485.09	$677.92