Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,396.00 / $6,337.90	Facility		$652.00	$2,396.00	$6,337.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.51 / $674.40 / $1,077.84	Professional		$470.51	$674.40	$1,077.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $745.44	Professional		$718.57	$718.57	$745.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.24 / $2,509.48 / $4,939.24	Facility		$1,444.24	$2,509.48	$4,939.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $705.23 / $1,008.54	Professional		$525.09	$705.23	$1,008.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $601.65 / $1,852.45 / $4,500.00	Facility		$601.65	$1,852.45	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $336.64 / $718.57 / $1,185.64	Professional		$336.64	$718.57	$1,185.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $533.54 / $1,108.86 / $1,108.86	Facility		$533.54	$1,108.86	$1,108.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.70 / $834.64 / $1,259.76	Professional		$631.70	$834.64	$1,259.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,308.12 / $16,394.00 / $16,394.00	Facility		$4,308.12	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,557.35 / $5,540.32 / $6,432.90	Professional		$4,557.35	$5,540.32	$6,432.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.77 / $756.98 / $1,096.16	Facility		$585.77	$756.98	$1,096.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $611.35 / $1,013.18 / $1,384.99	Professional		$611.35	$1,013.18	$1,384.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $604.08 / $1,453.03 / $3,419.00	Facility		$604.08	$1,453.03	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.99 / $762.86 / $1,044.78	Professional		$583.99	$762.86	$1,044.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.91 / $756.98 / $1,114.95	Facility		$582.91	$756.98	$1,114.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.36 / $869.27 / $1,393.86	Professional		$662.36	$869.27	$1,393.86
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 $586.54 / $781.19 / $1,162.74	Professional		$586.54	$781.19	$1,162.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $635.51 / $718.57 / $1,006.00	Professional		$635.51	$718.57	$1,006.00