Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,102.00 / $10,234.00	Facility		$651.00	$3,102.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $538.72 / $878.50	Professional		$389.24	$538.72	$878.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $390.25 / $676.23 / $739.94	Professional		$390.25	$676.23	$739.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.96 / $4,232.37 / $8,173.76	Facility		$2,189.96	$4,232.37	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $541.45 / $786.65	Professional		$393.25	$541.45	$786.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $1,263.33 / $4,050.00	Facility		$168.30	$1,263.33	$4,050.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $396.96 / $2,397.53 / $2,397.53	Facility		$396.96	$2,397.53	$2,397.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.27 / $729.27 / $729.27	Facility		$729.27	$729.27	$729.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.48 / $663.18 / $1,027.56	Professional		$456.48	$663.18	$1,027.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,028.88 / $11,500.00 / $26,542.00	Facility		$2,028.88	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,178.56 / $4,247.43 / $4,891.64	Professional		$3,178.56	$4,247.43	$4,891.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.56 / $583.62 / $932.12	Facility		$426.56	$583.62	$932.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $550.45 / $740.99 / $1,022.99	Professional		$550.45	$740.99	$1,022.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.02 / $846.74 / $1,654.90	Professional		$457.02	$846.74	$1,654.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.74 / $592.72 / $954.11	Facility		$427.74	$592.72	$954.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.36 / $689.54 / $1,113.81	Professional		$466.36	$689.54	$1,113.81
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 $460.04 / $624.96 / $986.12	Professional		$460.04	$624.96	$986.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $485.05 / $547.73 / $770.27	Professional		$485.05	$547.73	$770.27