Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.86 / $2,562.00 / $7,316.00	Facility		$547.86	$2,562.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.18 / $447.06 / $691.82	Professional		$344.18	$447.06	$691.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.17 / $378.13 / $442.43	Professional		$345.17	$378.13	$442.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,630.21 / $3,017.00 / $5,844.30	Facility		$1,630.21	$3,017.00	$5,844.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.81 / $449.77 / $656.49	Professional		$355.81	$449.77	$656.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $395.66 / $437.77 / $634.39	Professional		$395.66	$437.77	$634.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $327.79 / $1,656.50 / $1,656.50	Facility		$327.79	$1,656.50	$1,656.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.75 / $506.32 / $765.73	Professional		$375.75	$506.32	$765.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,667.72 / $16,394.00 / $16,394.00	Facility		$2,667.72	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.68 / $3,214.20 / $3,632.85	Professional		$2,835.68	$3,214.20	$3,632.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.36 / $501.50 / $817.98	Facility		$378.36	$501.50	$817.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.16 / $551.71 / $721.46	Professional		$414.16	$551.71	$721.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $420.48 / $578.10	Professional		$332.96	$420.48	$578.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.36 / $511.44 / $837.23	Facility		$378.36	$511.44	$837.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.20 / $525.40 / $789.51	Professional		$386.20	$525.40	$789.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.19 / $453.29 / $664.86	Professional		$340.19	$453.29	$664.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.20 / $410.05 / $575.55	Professional		$362.20	$410.05	$575.55