Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,181.00 / $7,513.00	Facility		$521.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $500.36 / $765.48	Professional		$339.58	$500.36	$765.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.89 / $225.89 / $427.64	Professional		$225.89	$225.89	$427.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,597.27 / $3,133.88 / $6,109.95	Facility		$1,597.27	$3,133.88	$6,109.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.98 / $535.64 / $743.26	Professional		$427.98	$535.64	$743.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $447.46 / $641.46 / $795.41	Professional		$447.46	$641.46	$795.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $408.26 / $408.26 / $426.35	Facility		$408.26	$408.26	$426.35
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 $401.99 / $532.97 / $745.06	Professional		$401.99	$532.97	$745.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,887.55	Facility		$55.00	$55.00	$6,887.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.00 / $3,487.04 / $3,829.73	Professional		$3,330.00	$3,487.04	$3,829.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $406.96 / $520.58 / $803.20	Facility		$406.96	$520.58	$803.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $427.64 / $578.62 / $756.65	Professional		$427.64	$578.62	$756.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $414.92 / $501.08 / $889.90	Professional		$414.92	$501.08	$889.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.96 / $524.39 / $834.76	Facility		$406.96	$524.39	$834.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.99 / $549.97 / $818.23	Professional		$401.99	$549.97	$818.23
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,688.00	Facility		$161.00	$1,058.00	$2,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $430.57 / $623.91	Professional		$313.14	$430.57	$623.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.87 / $427.64 / $604.07	Professional		$379.87	$427.64	$604.07