Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,060.00 / $10,048.00	Facility		$789.00	$3,060.00	$10,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.15 / $824.73 / $1,284.33	Professional		$680.15	$824.73	$1,284.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $848.95 / $876.05 / $1,357.87	Professional		$848.95	$876.05	$1,357.87
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 $727.95 / $921.40 / $1,312.72	Professional		$727.95	$921.40	$1,312.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $767.30 / $2,852.16 / $5,586.44	Facility		$767.30	$2,852.16	$5,586.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $680.79 / $766.55 / $904.68	Facility		$680.79	$766.55	$904.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.59 / $1,023.48 / $1,540.86	Professional		$767.59	$1,023.48	$1,540.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,489.16 / $26,542.00 / $26,542.00	Facility		$5,489.16	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,798.24 / $6,747.84 / $7,852.73	Professional		$5,798.24	$6,747.84	$7,852.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $735.89 / $932.36 / $1,327.50	Facility		$735.89	$932.36	$1,327.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $907.97 / $1,285.73 / $1,688.82	Professional		$907.97	$1,285.73	$1,688.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $745.49 / $932.91 / $1,191.38	Professional		$745.49	$932.91	$1,191.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $927.24 / $1,359.23	Facility		$732.75	$927.24	$1,359.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.90 / $1,066.79 / $1,700.81	Professional		$812.90	$1,066.79	$1,700.81
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 $718.19 / $957.46 / $1,456.30	Professional		$718.19	$957.46	$1,456.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $774.93 / $876.05 / $1,226.47	Professional		$774.93	$876.05	$1,226.47