Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.92 / $2,128.00 / $7,316.00	Facility		$259.92	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $156.13 / $269.14	Professional		$95.81	$156.13	$269.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $155.63 / $155.63	Professional		$155.63	$155.63	$155.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,718.58 / $3,133.88 / $6,126.24	Facility		$1,718.58	$3,133.88	$6,126.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $163.66 / $252.76	Professional		$101.48	$163.66	$252.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $201.17 / $300.52	Professional		$170.43	$201.17	$300.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.37 / $95.37 / $178.13	Facility		$95.37	$95.37	$178.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $171.78 / $269.27	Professional		$111.03	$171.78	$269.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $760.98 / $12,000.00 / $12,000.00	Facility		$760.98	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $807.04 / $1,265.11 / $1,462.28	Professional		$807.04	$1,265.11	$1,462.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $165.56 / $261.35	Facility		$100.50	$165.56	$261.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $186.45 / $288.14	Professional		$118.13	$186.45	$288.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $169.70 / $393.59	Professional		$103.76	$169.70	$393.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.57 / $169.02 / $291.89	Facility		$101.57	$169.02	$291.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $177.16 / $292.20	Professional		$114.87	$177.16	$292.20
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,509.00	Facility		$597.00	$2,054.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $177.20 / $260.86	Professional		$131.63	$177.20	$260.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $162.44 / $230.08	Professional		$144.66	$162.44	$230.08