Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.34 / $2,873.59 / $8,883.00	Facility		$704.34	$2,873.59	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.36 / $823.76 / $1,293.60	Professional		$668.36	$823.76	$1,293.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $825.47 / $929.35 / $1,704.42	Professional		$825.47	$929.35	$1,704.42
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 $700.17 / $883.07 / $1,284.76	Professional		$700.17	$883.07	$1,284.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,015.41 / $8,100.00	Facility		$816.00	$2,015.41	$8,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $821.55 / $1,043.18 / $1,509.60	Professional		$821.55	$1,043.18	$1,509.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $638.55 / $797.43 / $894.88	Facility		$638.55	$797.43	$894.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.33 / $1,021.00 / $1,540.08	Professional		$774.33	$1,021.00	$1,540.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,258.04 / $26,542.00 / $26,542.00	Facility		$5,258.04	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,567.76 / $6,741.60 / $7,809.83	Professional		$5,567.76	$6,741.60	$7,809.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $715.62 / $955.21 / $1,359.05	Facility		$715.62	$955.21	$1,359.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $905.06 / $1,268.05 / $1,683.41	Professional		$905.06	$1,268.05	$1,683.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $698.93 / $921.19 / $1,269.95	Professional		$698.93	$921.19	$1,269.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $715.62 / $955.21 / $1,387.22	Facility		$715.62	$955.21	$1,387.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.22 / $1,068.76 / $1,693.22	Professional		$808.22	$1,068.76	$1,693.22
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 $725.75 / $964.05 / $1,462.79	Professional		$725.75	$964.05	$1,462.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $772.44 / $874.06 / $1,223.68	Professional		$772.44	$874.06	$1,223.68