Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $3,084.00 / $8,883.00	Facility		$776.00	$3,084.00	$8,883.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,700.00 / $1,700.00 / $1,700.00	Facility	22	$1,700.00	$1,700.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.99 / $722.85 / $1,177.88	Professional		$574.99	$722.85	$1,177.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.94 / $402.94 / $629.88	Professional		$314.94	$402.94	$629.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,101.90 / $4,007.51 / $7,962.64	Facility		$2,101.90	$4,007.51	$7,962.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.71 / $681.73 / $1,086.22	Professional		$547.71	$681.73	$1,086.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,220.15 / $3,802.93	Facility		$300.00	$1,220.15	$3,802.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $376.58 / $456.67 / $913.33	Professional		$376.58	$456.67	$913.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $595.32 / $2,273.76 / $2,273.76	Facility		$595.32	$2,273.76	$2,273.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.16 / $854.00 / $1,326.66	Professional		$630.16	$854.00	$1,326.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $26,542.00 / $26,542.00	Facility		$7,909.30	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,932.42 / $5,932.42 / $5,932.42	Professional		$5,932.42	$5,932.42	$5,932.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.61 / $787.35 / $1,655.04	Facility		$604.61	$787.35	$1,655.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $719.09 / $1,000.19 / $1,176.70	Professional		$719.09	$1,000.19	$1,176.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,334.31 / $3,419.00 / $7,842.00	Facility		$2,334.31	$3,419.00	$7,842.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $604.48 / $654.91 / $783.00	Professional		$604.48	$654.91	$783.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.61 / $812.23 / $1,755.67	Facility		$604.61	$812.23	$1,755.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.27 / $865.44 / $1,420.37	Professional		$643.27	$865.44	$1,420.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,226.00	Facility		$1,284.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.39 / $698.76 / $1,088.14	Professional		$505.39	$698.76	$1,088.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $557.92 / $629.88 / $884.14	Professional		$557.92	$629.88	$884.14