Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,184.00 / $10,442.00	Facility		$803.00	$3,184.00	$10,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.25 / $747.62 / $1,279.24	Professional		$628.25	$747.62	$1,279.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $727.71 / $727.71 / $916.25	Professional		$727.71	$727.71	$916.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.43 / $3,663.85 / $7,142.18	Facility		$2,017.43	$3,663.85	$7,142.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.13 / $838.38 / $1,175.94	Professional		$677.13	$838.38	$1,175.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,743.59 / $2,752.49 / $8,000.00	Facility		$1,743.59	$2,752.49	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $682.51 / $2,185.98 / $2,185.98	Facility		$682.51	$2,185.98	$2,185.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $839.30 / $839.30	Facility		$839.30	$839.30	$839.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.59 / $980.91 / $1,527.60	Professional		$742.59	$980.91	$1,527.60
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 Facility Modifier AS Low / Median / High Price $165.08 / $646.16 / $646.16	Facility	AS	$165.08	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,285.68 / $5,399.12 / $6,382.80	Professional		$5,285.68	$5,399.12	$6,382.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $683.66 / $875.76 / $1,493.72	Facility		$683.66	$875.76	$1,493.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $907.33 / $1,088.79 / $1,350.10	Professional		$907.33	$1,088.79	$1,350.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $775.75 / $1,646.17	Professional		$449.10	$775.75	$1,646.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.66 / $902.28 / $1,532.57	Facility		$690.66	$902.28	$1,532.57
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $240.59	Facility	AS	$83.10	$83.10	$240.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.06 / $1,014.35 / $1,538.97	Professional		$752.06	$1,014.35	$1,538.97
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 $578.70 / $786.50 / $1,264.32	Professional		$578.70	$786.50	$1,264.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $619.50 / $704.81 / $974.01	Professional		$619.50	$704.81	$974.01