Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.54 / $1,482.66 / $4,155.18	Facility		$558.54	$1,482.66	$4,155.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $643.16 / $1,287.22	Professional		$507.76	$643.16	$1,287.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $507.76	Professional		$423.14	$423.14	$507.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,108.60 / $2,115.67 / $4,552.93	Facility		$1,108.60	$2,115.67	$4,552.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $465.45 / $1,184.78	Professional		$5.00	$465.45	$1,184.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $761.64 / $1,184.78	Professional		$592.39	$761.64	$1,184.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $837.81 / $837.81 / $846.27	Facility		$837.81	$837.81	$846.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.20 / $1,589.73 / $3,603.22	Facility		$430.20	$1,589.73	$3,603.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.78 / $803.86 / $1,441.22	Professional		$428.78	$803.86	$1,441.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,073.36 / $4,614.88 / $4,614.88	Facility		$2,073.36	$4,614.88	$4,614.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,231.35 / $4,231.35 / $6,347.03	Professional		$4,231.35	$4,231.35	$6,347.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.15 / $846.27 / $1,300.50	Facility		$533.15	$846.27	$1,300.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $803.96 / $846.27 / $1,057.83	Professional		$803.96	$846.27	$1,057.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $550.08 / $1,015.52 / $1,904.11	Professional		$550.08	$1,015.52	$1,904.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.61 / $993.94 / $2,804.61	Facility		$497.61	$993.94	$2,804.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.61 / $987.43 / $1,480.97	Professional		$431.61	$987.43	$1,480.97
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $507.76	Professional		$355.43	$355.43	$507.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $438.37 / $846.27	Professional		$338.51	$438.37	$846.27