Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $2,449.00 / $7,495.00	Facility		$443.00	$2,449.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $369.60 / $565.01	Professional		$233.65	$369.60	$565.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $120.93 / $120.93	Professional		$120.93	$120.93	$120.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,855.11 / $3,594.28 / $6,956.67	Facility		$1,855.11	$3,594.28	$6,956.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.71 / $385.82 / $635.71	Professional		$240.71	$385.82	$635.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $2,223.52 / $4,544.72	Facility		$588.72	$2,223.52	$4,544.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $350.71 / $350.71 / $350.71	Professional		$350.71	$350.71	$350.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $230.07 / $230.07 / $230.07	Facility		$230.07	$230.07	$230.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.23 / $428.13 / $712.39	Professional		$270.23	$428.13	$712.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.92 / $16,394.00 / $16,394.00	Facility		$1,768.92	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.84 / $2,914.00 / $3,422.70	Professional		$1,861.84	$2,914.00	$3,422.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.37 / $399.81 / $702.99	Facility		$251.37	$399.81	$702.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $326.31 / $466.88 / $708.59	Professional		$326.31	$466.88	$708.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $318.70 / $318.70	Professional		$318.70	$318.70	$318.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.37 / $401.95 / $781.79	Facility		$251.37	$401.95	$781.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $447.72 / $775.73	Professional		$273.52	$447.72	$775.73
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $438.49 / $669.18	Professional		$322.20	$438.49	$669.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.98 / $376.67 / $533.41	Professional		$335.98	$376.67	$533.41