Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.50 / $3,998.00 / $11,711.53	Facility		$1,192.50	$3,998.00	$11,711.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $527.99 / $596.25 / $2,450.00	Facility	52	$527.99	$596.25	$2,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.70 / $1,099.36 / $1,661.85	Professional		$907.70	$1,099.36	$1,661.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,230.58 / $1,230.58 / $1,230.58	Professional		$1,230.58	$1,230.58	$1,230.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,165.24 / $7,275.80 / $14,309.06	Facility		$4,165.24	$7,275.80	$14,309.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.73 / $1,211.66 / $1,688.11	Professional		$950.73	$1,211.66	$1,688.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,004.70 / $5,554.69 / $12,453.63	Facility		$1,004.70	$5,554.69	$12,453.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $572.29 / $696.72 / $696.72	Professional		$572.29	$696.72	$696.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $898.35 / $2,912.15 / $2,912.15	Facility		$898.35	$2,912.15	$2,912.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.89 / $1,327.43 / $2,010.41	Professional		$1,009.89	$1,327.43	$2,010.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $26,542.00	Facility		$12,131.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,871.70 / $12,547.52 / $12,547.52	Facility	52	$1,871.70	$12,547.52	$12,547.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,671.04 / $7,671.04 / $8,607.75	Professional		$7,671.04	$7,671.04	$8,607.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $960.99 / $1,262.74 / $2,576.26	Facility		$960.99	$1,262.74	$2,576.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.63 / $1,521.32 / $1,789.79	Professional		$1,292.63	$1,521.32	$1,789.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.33 / $1,052.59 / $1,190.30	Professional		$912.33	$1,052.59	$1,190.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.99 / $1,295.52 / $2,746.60	Facility		$960.99	$1,295.52	$2,746.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,014.46 / $1,345.38 / $2,109.86	Professional		$1,014.46	$1,345.38	$2,109.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.00 / $6,662.00 / $13,237.00	Facility		$2,182.00	$6,662.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.55 / $1,097.40 / $1,729.94	Professional		$816.55	$1,097.40	$1,729.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $848.63 / $960.99 / $1,343.63	Professional		$848.63	$960.99	$1,343.63