Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,872.00 / $9,961.00	Facility		$767.00	$2,872.00	$9,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.52 / $887.53 / $1,329.54	Professional		$717.52	$887.53	$1,329.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.07 / $942.14 / $1,460.31	Professional		$471.07	$942.14	$1,460.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.24 / $2,580.16 / $5,468.63	Facility		$1,444.24	$2,580.16	$5,468.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.65 / $951.93 / $1,410.02	Professional		$747.65	$951.93	$1,410.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,853.20 / $6,251.13	Facility		$816.00	$1,853.20	$6,251.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $853.11 / $1,083.46 / $1,516.27	Professional		$853.11	$1,083.46	$1,516.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $683.52 / $995.47 / $995.47	Facility		$683.52	$995.47	$995.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.83 / $1,097.57 / $1,659.30	Professional		$829.83	$1,097.57	$1,659.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,637.48 / $26,542.00 / $26,542.00	Facility		$5,637.48	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,969.04 / $7,269.36 / $8,421.68	Professional		$5,969.04	$7,269.36	$8,421.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $768.02 / $1,030.54 / $1,468.76	Facility		$768.02	$1,030.54	$1,468.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $975.89 / $1,359.34 / $1,815.16	Professional		$975.89	$1,359.34	$1,815.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $748.14 / $992.76 / $1,369.54	Professional		$748.14	$992.76	$1,369.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.02 / $1,030.54 / $1,529.42	Facility		$768.02	$1,030.54	$1,529.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.61 / $1,151.79 / $1,834.00	Professional		$866.61	$1,151.79	$1,834.00
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 $777.63 / $1,036.83 / $1,556.74	Professional		$777.63	$1,036.83	$1,556.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $832.89 / $942.14 / $1,319.00	Professional		$832.89	$942.14	$1,319.00