Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.79 / $1,566.23 / $1,877.89	Professional		$1,317.79	$1,566.23	$1,877.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $972.48 / $972.48 / $972.48	Professional		$972.48	$972.48	$972.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.83 / $1,614.89 / $2,249.91	Professional		$1,275.83	$1,614.89	$2,249.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $656.29 / $992.94 / $1,384.93	Professional		$656.29	$992.94	$1,384.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,312.28 / $1,312.28 / $1,312.28	Facility		$1,312.28	$1,312.28	$1,312.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.42 / $1,926.23 / $3,139.40	Professional		$1,444.42	$1,926.23	$3,139.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $40,628.64	Facility		$55.00	$55.00	$40,628.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,108.00 / $16,108.00 / $16,108.00	Professional		$16,108.00	$16,108.00	$16,108.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,444.42 / $1,804.45 / $3,639.60	Facility		$1,444.42	$1,804.45	$3,639.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.81 / $2,030.55 / $2,368.98	Professional		$1,759.81	$2,030.55	$2,368.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,643.50 / $2,643.50 / $2,643.50	Professional		$2,643.50	$2,643.50	$2,643.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,444.42 / $1,870.71 / $3,687.33	Facility		$1,444.42	$1,870.71	$3,687.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,444.42 / $1,939.02 / $3,209.17	Professional		$1,444.42	$1,939.02	$3,209.17
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.17 / $1,540.29 / $2,465.17	Professional		$1,168.17	$1,540.29	$2,465.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,155.33 / $1,320.40 / $1,810.82	Professional		$1,155.33	$1,320.40	$1,810.82