Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.05 / $3,000.00 / $10,546.00	Facility		$666.05	$3,000.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $620.63 / $1,030.80	Professional		$455.74	$620.63	$1,030.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.58 / $537.91 / $860.05	Professional		$303.58	$537.91	$860.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,933.87 / $3,594.28 / $7,026.24	Facility		$1,933.87	$3,594.28	$7,026.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.38 / $650.85 / $956.46	Professional		$473.38	$650.85	$956.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $268.95 / $333.00 / $425.01	Professional		$268.95	$333.00	$425.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $471.64 / $479.09	Facility		$80.00	$471.64	$479.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.02 / $868.02 / $868.02	Facility		$868.02	$868.02	$868.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.71 / $767.40 / $1,178.33	Professional		$543.71	$767.40	$1,178.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,943.10 / $11,500.00 / $26,542.00	Facility		$2,943.10	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,701.92 / $4,985.76 / $5,774.40	Professional		$3,701.92	$4,985.76	$5,774.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.38 / $692.86 / $1,124.83	Facility		$477.38	$692.86	$1,124.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $656.83 / $884.19 / $1,187.77	Professional		$656.83	$884.19	$1,187.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $855.78 / $1,153.85 / $2,022.09	Professional		$855.78	$1,153.85	$2,022.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.70 / $698.64 / $1,143.39	Facility		$478.70	$698.64	$1,143.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.59 / $801.10 / $1,279.29	Professional		$552.59	$801.10	$1,279.29
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 $529.65 / $721.43 / $1,146.56	Professional		$529.65	$721.43	$1,146.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $563.17 / $635.13 / $890.12	Professional		$563.17	$635.13	$890.12