Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $3,174.00 / $11,086.00	Facility		$662.00	$3,174.00	$11,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.23 / $475.11 / $901.48	Professional		$425.23	$475.11	$901.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.09 / $576.01 / $576.01	Professional		$425.09	$576.01	$576.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,901.49 / $3,663.85 / $7,118.99	Facility		$1,901.49	$3,663.85	$7,118.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.81 / $524.16 / $746.45	Professional		$429.81	$524.16	$746.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $469.84 / $648.83 / $850.02	Professional		$469.84	$648.83	$850.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $425.83 / $3,204.05 / $3,204.05	Facility		$425.83	$3,204.05	$3,204.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.27 / $536.27 / $536.27	Facility		$536.27	$536.27	$536.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.01 / $652.38 / $1,035.08	Professional		$480.01	$652.38	$1,035.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,748.92 / $11,500.00 / $26,542.00	Facility		$1,748.92	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,999.45 / $4,818.24 / $4,977.24	Professional		$3,999.45	$4,818.24	$4,977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.29 / $698.19 / $1,029.00	Facility		$460.29	$698.19	$1,029.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.17 / $691.41 / $857.35	Professional		$576.17	$691.41	$857.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.52 / $576.01 / $960.60	Professional		$501.52	$576.01	$960.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.29 / $701.75 / $1,042.47	Facility		$460.29	$701.75	$1,042.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $481.29 / $671.52 / $1,035.08	Professional		$481.29	$671.52	$1,035.08
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.28 / $528.39 / $940.72	Professional		$384.28	$528.39	$940.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $447.47 / $621.24	Professional		$393.40	$447.47	$621.24