Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,500.00 / $7,316.00	Facility		$569.00	$2,500.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $500.97 / $806.17	Professional		$361.56	$500.97	$806.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.91 / $393.16 / $452.51	Professional		$370.91	$393.16	$452.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,947.87 / $3,547.90 / $7,026.24	Facility		$1,947.87	$3,547.90	$7,026.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $501.40 / $732.67	Professional		$364.16	$501.40	$732.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $537.08 / $686.18	Professional		$408.00	$537.08	$686.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $361.54 / $365.27	Facility		$80.00	$361.54	$365.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.20 / $658.20 / $658.20	Facility		$658.20	$658.20	$658.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.56 / $600.46 / $940.66	Professional		$417.56	$600.46	$940.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,838.64 / $11,500.00 / $16,394.00	Facility		$1,838.64	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,829.76 / $4,415.85 / $4,825.49	Professional		$2,829.76	$4,415.85	$4,825.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.46 / $559.10 / $894.94	Facility		$389.46	$559.10	$894.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.73 / $670.22 / $913.54	Professional		$478.73	$670.22	$913.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $545.24 / $875.29	Professional		$411.00	$545.24	$875.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.46 / $561.88 / $908.74	Facility		$389.46	$561.88	$908.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.29 / $629.30 / $1,022.81	Professional		$423.29	$629.30	$1,022.81
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 $414.94 / $553.25 / $892.39	Professional		$414.94	$553.25	$892.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $433.15 / $488.59 / $685.80	Professional		$433.15	$488.59	$685.80