Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,073.80 / $12,882.50	Facility		$1,202.26	$4,073.80	$12,882.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	52	$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,884.03	Professional		$912.01	$1,174.90	$2,884.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $2,187.76	Professional		$724.44	$1,148.15	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $14,791.08	Facility		$4,265.80	$7,413.10	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,584.89	Professional		$912.01	$1,174.90	$1,584.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,248.07 / $7,943.28	Facility		$1,778.28	$5,248.07	$7,943.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,380.38	Professional		$1,148.15	$1,148.15	$1,380.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,606.93 / $6,606.93	Facility		$891.25	$6,606.93	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,089.30	Professional		$977.24	$1,288.25	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $50,118.72 / $50,118.72	Facility		$16,595.87	$50,118.72	$50,118.72
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility	52	$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,511.38 / $8,511.38	Professional		$7,585.78	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $7,413.10	Facility		$977.24	$1,659.59	$7,413.10
Moda Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	52	$2,454.71	$2,454.71	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,344.23	Professional		$977.24	$1,288.25	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,995.26 / $2,691.53	Professional		$5.01	$1,995.26	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,238.72	Facility		$933.25	$1,288.25	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,089.30	Professional		$933.25	$1,318.26	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,698.24	Professional		$812.83	$1,096.48	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $954.99	Professional		$891.25	$954.99	$954.99