Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $3,611.00 / $12,826.00	Facility		$896.00	$3,611.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.12 / $684.79 / $1,084.32	Professional		$577.12	$684.79	$1,084.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $643.82 / $643.82 / $643.82	Professional		$643.82	$643.82	$643.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,147.82 / $8,853.29 / $15,732.53	Facility		$3,147.82	$8,853.29	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.57 / $768.36 / $1,077.73	Professional		$620.57	$768.36	$1,077.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $988.66 / $2,534.52	Facility		$63.79	$988.66	$2,534.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $382.52 / $674.83 / $1,118.21	Professional		$382.52	$674.83	$1,118.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $616.28 / $626.52	Facility		$80.00	$616.28	$626.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.89 / $768.89 / $768.89	Facility		$768.89	$768.89	$768.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.64 / $895.11 / $1,379.24	Professional		$665.64	$895.11	$1,379.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,132.00	Facility		$55.00	$55.00	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,902.16 / $4,995.52 / $5,847.90	Professional		$4,902.16	$4,995.52	$5,847.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $654.28 / $848.35 / $1,317.35	Facility		$654.28	$848.35	$1,317.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $835.75 / $1,002.90 / $1,243.59	Professional		$835.75	$1,002.90	$1,243.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $872.30 / $872.30 / $872.30	Professional		$872.30	$872.30	$872.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.28 / $855.19 / $1,362.43	Facility		$654.28	$855.19	$1,362.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.09 / $927.88 / $1,410.50	Professional		$686.09	$927.88	$1,410.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,600.00	Facility		$1,693.00	$5,210.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $723.74 / $1,127.58	Professional		$534.79	$723.74	$1,127.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $570.63 / $647.40 / $899.80	Professional		$570.63	$647.40	$899.80