Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $3,184.00 / $10,893.00	Facility		$649.00	$3,184.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.89 / $421.92 / $678.01	Professional		$308.89	$421.92	$678.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $401.11 / $428.41	Professional		$324.55	$401.11	$428.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,976.14 / $3,640.66 / $7,625.57	Facility		$1,976.14	$3,640.66	$7,625.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $381.37 / $543.11	Professional		$312.73	$381.37	$543.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $464.66 / $681.41	Professional		$357.01	$464.66	$681.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $297.64 / $305.80	Facility		$80.00	$297.64	$305.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $390.06 / $390.06	Facility		$390.06	$390.06	$390.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.40 / $532.85 / $1,035.58	Professional		$355.40	$532.85	$1,035.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,896.96 / $11,500.00 / $26,542.00	Facility		$1,896.96	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,100.72 / $3,327.23 / $3,437.03	Professional		$3,100.72	$3,327.23	$3,437.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.27 / $629.47 / $941.69	Facility		$331.27	$629.47	$941.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.05 / $498.78 / $618.49	Professional		$390.05	$498.78	$618.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $353.09 / $435.99 / $1,180.90	Professional		$353.09	$435.99	$1,180.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.42 / $641.34 / $957.82	Facility		$331.42	$641.34	$957.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.04 / $539.37 / $1,033.18	Professional		$362.04	$539.37	$1,033.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.74 / $483.89 / $834.24	Professional		$290.74	$483.89	$834.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $324.55 / $447.42	Professional		$283.80	$324.55	$447.42