Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $2,901.00 / $10,836.00	Facility		$706.00	$2,901.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.71 / $774.27 / $1,217.58	Professional		$622.71	$774.27	$1,217.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $821.03 / $821.03 / $1,272.59	Professional		$821.03	$821.03	$1,272.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.24 / $2,580.16 / $5,456.92	Facility		$1,444.24	$2,580.16	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.91 / $830.22 / $1,204.40	Professional		$651.91	$830.22	$1,204.40
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $682.53 / $1,984.66 / $8,100.00	Facility		$682.53	$1,984.66	$8,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $706.45 / $909.08 / $1,313.65	Professional		$706.45	$909.08	$1,313.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $589.17 / $589.17 / $852.86	Facility		$589.17	$589.17	$852.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.10 / $945.73 / $1,443.07	Professional		$718.10	$945.73	$1,443.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,890.24 / $26,542.00 / $26,542.00	Facility		$4,890.24	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,166.16 / $6,318.48 / $7,367.03	Professional		$5,166.16	$6,318.48	$7,367.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $664.81 / $890.48 / $1,261.64	Facility		$664.81	$890.48	$1,261.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,146.42 / $1,582.93	Professional		$815.00	$1,146.42	$1,582.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $663.04 / $868.95 / $1,193.49	Professional		$663.04	$868.95	$1,193.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.81 / $890.48 / $1,282.64	Facility		$664.81	$890.48	$1,282.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $754.25 / $989.00 / $1,581.86	Professional		$754.25	$989.00	$1,581.86
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.06 / $893.41 / $1,352.00	Professional		$670.06	$893.41	$1,352.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $726.34 / $821.03 / $1,149.44	Professional		$726.34	$821.03	$1,149.44