Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $2,816.00 / $7,497.00	Facility		$689.00	$2,816.00	$7,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.38 / $672.04 / $1,150.88	Professional		$551.38	$672.04	$1,150.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $652.10 / $652.10 / $652.10	Professional		$652.10	$652.10	$652.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,892.66 / $3,640.66 / $7,118.99	Facility		$1,892.66	$3,640.66	$7,118.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.79 / $756.24 / $1,060.74	Professional		$610.79	$756.24	$1,060.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $661.65 / $661.65 / $749.92	Professional		$661.65	$661.65	$749.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $611.16 / $2,922.75 / $2,922.75	Facility		$611.16	$2,922.75	$2,922.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.01 / $754.01 / $754.01	Facility		$754.01	$754.01	$754.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.53 / $879.98 / $1,371.22	Professional		$667.53	$879.98	$1,371.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,781.04 / $4,866.00 / $5,759.48	Professional		$4,781.04	$4,866.00	$5,759.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.30 / $789.26 / $1,346.55	Facility		$616.30	$789.26	$1,346.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $819.58 / $983.49 / $1,219.53	Professional		$819.58	$983.49	$1,219.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $696.10 / $1,488.71	Professional		$449.10	$696.10	$1,488.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $813.88 / $1,369.47	Facility		$620.84	$813.88	$1,369.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.72 / $910.24 / $1,382.97	Professional		$676.72	$910.24	$1,382.97
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,100.00 / $4,554.00	Facility		$600.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.53 / $726.81 / $1,152.24	Professional		$531.53	$726.81	$1,152.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $559.59 / $636.28 / $880.34	Professional		$559.59	$636.28	$880.34