Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $10,836.00	Facility		$803.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $647.11 / $1,037.28	Professional		$546.57	$647.11	$1,037.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $761.04 / $761.04 / $761.04	Professional		$761.04	$761.04	$761.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,431.35	Facility		$2,436.33	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.94 / $726.72 / $1,019.33	Professional		$586.94	$726.72	$1,019.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $632.21 / $707.40 / $1,061.09	Professional		$632.21	$707.40	$1,061.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $588.05 / $596.90	Facility		$80.00	$588.05	$596.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.09 / $729.09 / $729.09	Facility		$729.09	$729.09	$729.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $848.73 / $1,299.97	Professional		$627.98	$848.73	$1,299.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,009.35 / $11,500.00 / $26,542.00	Facility		$3,009.35	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,110.16 / $5,110.16 / $5,543.10	Professional		$5,110.16	$5,110.16	$5,543.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.61 / $771.86 / $1,311.73	Facility		$613.61	$771.86	$1,311.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $792.49 / $950.99 / $1,179.22	Professional		$792.49	$950.99	$1,179.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $614.71 / $821.87 / $1,323.54	Professional		$614.71	$821.87	$1,323.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.61 / $781.18 / $1,400.85	Facility		$613.61	$781.18	$1,400.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $651.22 / $872.49 / $1,326.88	Professional		$651.22	$872.49	$1,326.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.97 / $689.86 / $1,082.83	Professional		$497.97	$689.86	$1,082.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $541.09 / $613.61 / $853.48	Professional		$541.09	$613.61	$853.48