Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,563.00 / $12,040.00	Facility		$788.00	$3,563.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $736.24 / $1,191.32	Professional		$532.00	$736.24	$1,191.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $498.98 / $549.77 / $939.02	Professional		$498.98	$549.77	$939.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,212.20 / $18,065.49	Facility		$5,264.12	$9,212.20	$18,065.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.64 / $718.71 / $994.71	Professional		$527.64	$718.71	$994.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $6,604.14 / $12,074.08	Facility		$504.00	$6,604.14	$12,074.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $604.75 / $707.98 / $1,153.07	Professional		$604.75	$707.98	$1,153.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.72 / $5,700.09 / $5,700.09	Facility		$524.72	$5,700.09	$5,700.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.60 / $978.60 / $978.60	Facility		$978.60	$978.60	$978.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $97.86	Facility	AS	$97.86	$97.86	$97.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.25 / $900.53 / $1,397.40	Professional		$621.25	$900.53	$1,397.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,722.60 / $11,500.00 / $26,542.00	Facility		$2,722.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $264.92 / $292.27 / $292.27	Facility	AS	$264.92	$292.27	$292.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,220.47 / $5,611.44 / $6,523.73	Professional		$4,220.47	$5,611.44	$6,523.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $837.18 / $1,318.15	Facility		$585.87	$837.18	$1,318.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $721.73 / $990.61 / $1,347.03	Professional		$721.73	$990.61	$1,347.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $623.02 / $1,079.30 / $2,169.23	Professional		$623.02	$1,079.30	$2,169.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $591.50 / $845.85 / $1,327.83	Facility		$591.50	$845.85	$1,327.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $298.83 / $298.83 / $298.83	Facility	80	$298.83	$298.83	$298.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $254.02	Facility	AS	$97.86	$97.86	$254.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $634.05 / $957.14 / $1,506.08	Professional		$634.05	$957.14	$1,506.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.72 / $871.19 / $1,356.64	Professional		$654.72	$871.19	$1,356.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $644.05 / $727.98 / $1,020.98	Professional		$644.05	$727.98	$1,020.98