Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,496.00 / $6,691.00	Facility		$714.00	$2,496.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.46 / $893.17 / $1,362.32	Professional		$724.46	$893.17	$1,362.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $944.27 / $945.22 / $1,199.52	Professional		$944.27	$945.22	$1,199.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.24 / $2,563.92 / $4,981.81	Facility		$1,444.24	$2,563.92	$4,981.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.80 / $950.41 / $1,362.97	Professional		$707.80	$950.41	$1,362.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $784.87 / $2,250.00	Facility		$147.18	$784.87	$2,250.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $944.27 / $1,149.54 / $1,674.13	Professional		$944.27	$1,149.54	$1,674.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $711.21 / $821.38 / $966.72	Facility		$711.21	$821.38	$966.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.81 / $1,103.33 / $1,663.36	Professional		$815.81	$1,103.33	$1,663.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,837.34 / $16,394.00 / $16,394.00	Facility		$5,837.34	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,182.00 / $7,291.36 / $8,430.00	Professional		$6,182.00	$7,291.36	$8,430.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.36 / $1,002.66 / $1,440.35	Facility		$791.36	$1,002.66	$1,440.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $937.30 / $1,365.24 / $1,818.76	Professional		$937.30	$1,365.24	$1,818.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $778.46 / $995.91 / $1,270.58	Professional		$778.46	$995.91	$1,270.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.20 / $1,002.66 / $1,464.74	Facility		$783.20	$1,002.66	$1,464.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $877.12 / $1,153.49 / $1,836.55	Professional		$877.12	$1,153.49	$1,836.55
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 $779.75 / $1,028.55 / $1,546.74	Professional		$779.75	$1,028.55	$1,546.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $834.55 / $944.27 / $1,321.98	Professional		$834.55	$944.27	$1,321.98