Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,970.00 / $12,826.00	Facility		$916.00	$3,970.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.23 / $4,800.72 / $8,629.41	Professional		$442.23	$4,800.72	$8,629.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $435.87 / $593.04 / $617.66	Professional		$435.87	$593.04	$617.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,625.08 / $9,451.48 / $19,343.00	Facility		$5,625.08	$9,451.48	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.18 / $4,337.59 / $7,413.53	Professional		$437.18	$4,337.59	$7,413.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $460.43 / $6,143.97 / $9,654.81	Facility		$460.43	$6,143.97	$9,654.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $415.68 / $6,298.85 / $6,298.85	Facility		$415.68	$6,298.85	$6,298.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $805.44 / $805.44 / $805.44	Facility		$805.44	$805.44	$805.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.95 / $1,071.18 / $11,281.88	Professional		$519.95	$1,071.18	$11,281.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,764.58	Facility		$55.00	$55.00	$9,764.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,132.93 / $20,733.43 / $52,335.24	Professional		$20,132.93	$20,733.43	$52,335.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $459.02 / $4,174.27 / $9,659.03	Facility		$459.02	$4,174.27	$9,659.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $599.22 / $5,478.00 / $9,250.28	Professional		$599.22	$5,478.00	$9,250.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $510.38 / $1,062.70 / $12,155.51	Professional		$510.38	$1,062.70	$12,155.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.02 / $2,348.83 / $9,659.03	Facility		$459.02	$2,348.83	$9,659.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $530.98 / $1,216.68 / $11,628.87	Professional		$530.98	$1,216.68	$11,628.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $19,320.00	Facility		$2,600.00	$7,123.00	$19,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,437.70 / $7,416.30 / $11,789.36	Professional		$5,437.70	$7,416.30	$11,789.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,422.88 / $4,910.89 / $7,038.04	Professional		$4,422.88	$4,910.89	$7,038.04