Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,235.94 / $11,481.54	Facility		$831.76	$3,235.94	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,778.28	Professional		$660.69	$891.25	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $851.14 / $1,778.28	Professional		$338.84	$851.14	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $5,370.32	Facility		$1,513.56	$2,630.27	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,380.38	Professional		$741.31	$912.01	$1,380.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,884.03	Facility		$1,995.26	$1,995.26	$2,884.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,584.89	Professional		$912.01	$1,096.48	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $758.58 / $912.01	Facility		$676.08	$758.58	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,548.82	Professional		$794.33	$1,023.29	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $45,708.82 / $45,708.82	Facility		$5,623.41	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $7,943.28	Professional		$6,760.83	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $3,890.45	Facility		$707.95	$1,023.29	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,737.80	Professional		$707.95	$1,000.00	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,380.38	Facility		$691.83	$912.01	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,659.59	Professional		$812.83	$1,071.52	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,288.25	Professional		$660.69	$891.25	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01