Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,548.82	Professional		$691.83	$977.24	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,135.61	Facility		$4,265.80	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,412.54	Professional		$691.83	$977.24	$1,412.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $10,964.78	Facility		$446.68	$2,511.89	$10,964.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $660.69 / $676.08	Facility		$79.43	$660.69	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,862.09	Professional		$794.33	$1,148.15	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $42,657.95 / $42,657.95	Facility		$22,387.21	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $3,388.44	Facility		$741.31	$1,148.15	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,949.84	Professional		$707.95	$1,023.29	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $630.96	Professional		$32.36	$95.50	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,949.84	Professional		$1,000.00	$1,000.00	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,905.46	Facility		$741.31	$1,122.02	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,905.46	Professional		$758.58	$1,148.15	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,803.84	Facility		$2,187.76	$6,918.31	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,412.54	Professional		$630.96	$891.25	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,122.02	Professional		$1,071.52	$1,122.02	$1,122.02