Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,986.00 / $8,590.00	Facility		$657.00	$2,986.00	$8,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.52 / $604.02 / $1,052.76	Professional		$497.52	$604.02	$1,052.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.35 / $540.60 / $682.87	Professional		$306.35	$540.60	$682.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.23 / $4,407.29 / $9,279.95	Facility		$2,587.23	$4,407.29	$9,279.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.65 / $595.76 / $926.90	Professional		$478.65	$595.76	$926.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $336.60 / $1,424.93 / $8,100.00	Facility		$336.60	$1,424.93	$8,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $625.97 / $995.86	Professional		$327.20	$625.97	$995.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $543.54 / $1,120.41 / $1,120.41	Facility		$543.54	$1,120.41	$1,120.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $675.90 / $675.90	Facility		$675.90	$675.90	$675.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $67.26	Facility	AS	$67.26	$67.26	$67.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.96 / $834.33 / $1,314.13	Professional		$610.96	$834.33	$1,314.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,346.32 / $11,500.00 / $26,542.00	Facility		$3,346.32	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $136.09 / $849.00 / $849.00	Facility	AS	$136.09	$849.00	$849.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,528.97 / $4,528.97 / $5,128.50	Professional		$4,528.97	$4,528.97	$5,128.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $582.75 / $775.16 / $1,355.86	Facility		$582.75	$775.16	$1,355.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.71 / $793.45 / $1,093.20	Professional		$442.71	$793.45	$1,093.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,334.31 / $3,419.00 / $9,774.50	Facility		$2,334.31	$3,419.00	$9,774.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $578.51 / $796.50 / $1,341.63	Professional		$578.51	$796.50	$1,341.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.75 / $777.72 / $1,390.49	Facility		$582.75	$777.72	$1,390.49
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $226.64 / $226.64 / $226.64	Facility	80	$226.64	$226.64	$226.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $192.64	Facility	AS	$67.26	$67.26	$192.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $612.69 / $857.67 / $1,311.06	Professional		$612.69	$857.67	$1,311.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.92 / $672.82 / $1,069.32	Professional		$489.92	$672.82	$1,069.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.62 / $569.05 / $791.59	Professional		$501.62	$569.05	$791.59