Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $2,757.00 / $8,780.00	Facility		$651.00	$2,757.00	$8,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.90 / $716.76 / $1,198.58	Professional		$574.90	$716.76	$1,198.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $661.03 / $751.24 / $1,416.50	Professional		$661.03	$751.24	$1,416.50
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 $544.85 / $735.73 / $1,073.11	Professional		$544.85	$735.73	$1,073.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,984.93 / $6,823.66	Facility		$816.00	$1,984.93	$6,823.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $694.14 / $882.97 / $1,307.54	Professional		$694.14	$882.97	$1,307.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $560.72 / $1,084.83 / $1,084.83	Facility		$560.72	$1,084.83	$1,084.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.40 / $851.24 / $1,284.19	Professional		$669.40	$851.24	$1,284.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,589.88 / $26,542.00 / $26,542.00	Facility		$4,589.88	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,000.00 / $7,000.00 / $7,000.00	Professional		$7,000.00	$7,000.00	$7,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.70 / $799.05 / $1,128.50	Facility		$619.70	$799.05	$1,128.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $751.73 / $1,073.83 / $1,398.22	Professional		$751.73	$1,073.83	$1,398.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $613.72 / $780.31 / $1,081.53	Professional		$613.72	$780.31	$1,081.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.75 / $799.05 / $1,151.70	Facility		$616.75	$799.05	$1,151.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.96 / $904.50 / $1,426.30	Professional		$697.96	$904.50	$1,426.30
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 $597.62 / $790.36 / $1,186.38	Professional		$597.62	$790.36	$1,186.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.58 / $726.41 / $1,016.97	Professional		$641.58	$726.41	$1,016.97