Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $3,066.00 / $12,281.00	Facility		$536.00	$3,066.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $4,296.22 / $6,119.43	Professional		$85.79	$4,296.22	$6,119.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $88.85 / $3,553.37	Professional		$82.63	$88.85	$3,553.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,106.92 / $12,074.12 / $23,460.48	Facility		$7,106.92	$12,074.12	$23,460.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $3,094.27 / $5,557.17	Professional		$73.81	$3,094.27	$5,557.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $8,384.41 / $18,250.02	Facility		$83.97	$8,384.41	$18,250.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $137.81 / $143.05	Professional		$125.80	$137.81	$143.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $7,994.44 / $7,994.44	Facility		$74.31	$7,994.44	$7,994.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,088.11 / $10,088.11 / $10,088.11	Facility		$10,088.11	$10,088.11	$10,088.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $205.20 / $8,016.31	Professional		$99.51	$205.20	$8,016.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $410.50	Facility		$55.00	$55.00	$410.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,018.09 / $29,730.28 / $33,272.48	Professional		$15,018.09	$29,730.28	$33,272.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.62 / $3,210.88 / $7,384.29	Facility		$87.62	$3,210.88	$7,384.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $4,945.55 / $6,657.47	Professional		$108.49	$4,945.55	$6,657.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,062.30 / $7,062.30 / $7,062.30	Professional		$7,062.30	$7,062.30	$7,062.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.62 / $3,440.56 / $9,709.87	Facility		$87.62	$3,440.56	$9,709.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $266.77 / $8,440.60	Professional		$100.51	$266.77	$8,440.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,453.00 / $20,955.00	Facility		$4,409.00	$9,453.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,014.80 / $5,417.34 / $8,770.93	Professional		$4,014.80	$5,417.34	$8,770.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,246.83 / $3,597.63 / $5,170.00	Professional		$3,246.83	$3,597.63	$5,170.00