Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.00 / $3,682.00 / $12,826.00	Facility		$942.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $936.64 / $1,474.62	Professional		$787.82	$936.64	$1,474.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $839.26 / $839.26 / $839.26	Professional		$839.26	$839.26	$839.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.29 / $1,560.35 / $7,173.78	Facility		$913.29	$1,560.35	$7,173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.53 / $1,080.35 / $1,472.19	Professional		$853.53	$1,080.35	$1,472.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $863.55 / $1,305.08 / $2,043.97	Professional		$863.55	$1,305.08	$2,043.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $834.53 / $850.20	Facility		$80.00	$834.53	$850.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.52 / $1,226.69 / $1,887.22	Professional		$913.52	$1,226.69	$1,887.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,309.00	Facility		$55.00	$55.00	$5,309.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,969.73 / $11,680.42 / $11,680.42	Professional		$7,969.73	$11,680.42	$11,680.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $895.25 / $1,147.83 / $1,860.00	Facility		$895.25	$1,147.83	$1,860.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.40 / $1,367.28 / $1,695.43	Professional		$1,139.40	$1,367.28	$1,695.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.70 / $1,102.70 / $1,102.70	Professional		$1,102.70	$1,102.70	$1,102.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.25 / $1,147.83 / $1,913.89	Facility		$895.25	$1,147.83	$1,913.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $938.71 / $1,269.93 / $1,920.57	Professional		$938.71	$1,269.93	$1,920.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.18 / $984.73 / $1,555.96	Professional		$719.18	$984.73	$1,555.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $777.95 / $883.43 / $1,226.38	Professional		$777.95	$883.43	$1,226.38