Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $4,633.00 / $17,962.74	Facility		$803.00	$4,633.00	$17,962.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.63 / $580.40 / $863.07	Professional		$485.63	$580.40	$863.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $629.40 / $629.40 / $629.40	Professional		$629.40	$629.40	$629.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,439.00 / $15,480.43 / $30,960.86	Facility		$9,439.00	$15,480.43	$30,960.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $596.87 / $818.78	Professional		$468.33	$596.87	$818.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $498.83 / $12,303.54 / $31,696.25	Facility		$498.83	$12,303.54	$31,696.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $746.99 / $819.77 / $844.45	Professional		$746.99	$819.77	$844.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $446.04 / $9,327.34 / $9,327.34	Facility		$446.04	$9,327.34	$9,327.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,038.12 / $11,038.12 / $11,038.12	Facility		$11,038.12	$11,038.12	$11,038.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.16 / $696.41 / $1,084.99	Professional		$529.16	$696.41	$1,084.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,361.00 / $16,026.00 / $43,616.05	Facility		$2,361.00	$16,026.00	$43,616.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,155.88 / $7,286.89 / $7,286.89	Professional		$7,155.88	$7,286.89	$7,286.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.50 / $664.73 / $1,454.06	Facility		$524.50	$664.73	$1,454.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.01 / $742.35 / $890.82	Professional		$630.01	$742.35	$890.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.83 / $524.50 / $867.36	Professional		$443.83	$524.50	$867.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.50 / $682.53 / $1,454.06	Facility		$524.50	$682.53	$1,454.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $722.21 / $1,200.29	Professional		$524.50	$722.21	$1,200.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,552.00 / $14,127.00 / $43,953.00	Facility		$5,552.00	$14,127.00	$43,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.83 / $573.29 / $912.07	Professional		$436.83	$573.29	$912.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $422.38 / $482.16 / $663.44	Professional		$422.38	$482.16	$663.44