Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $2,496.00 / $7,078.00	Facility		$624.00	$2,496.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.56 / $1,468.75 / $2,514.91	Professional		$317.56	$1,468.75	$2,514.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $260.20 / $320.31	Professional		$147.79	$260.20	$320.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $4,663.00 / $6,960.00	Facility		$1,845.00	$4,663.00	$6,960.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $897.93 / $2,688.18	Professional		$300.52	$897.93	$2,688.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $310.93 / $1,641.40 / $2,977.20	Facility		$310.93	$1,641.40	$2,977.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $287.33 / $1,969.30	Professional		$173.48	$287.33	$1,969.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $295.79 / $1,996.04	Facility		$295.79	$295.79	$1,996.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $569.66	Facility		$569.66	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.71 / $788.26 / $3,247.84	Professional		$365.71	$788.26	$3,247.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,902.82 / $3,331.17 / $8,980.00	Facility		$2,902.82	$3,331.17	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,726.24 / $13,089.20 / $15,225.60	Professional		$6,726.24	$13,089.20	$15,225.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.22 / $986.71 / $3,133.15	Facility		$335.22	$986.71	$3,133.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $419.24 / $1,322.49 / $3,233.24	Professional		$419.24	$1,322.49	$3,233.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $367.16 / $1,732.81 / $4,077.40	Professional		$367.16	$1,732.81	$4,077.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.22 / $1,025.55 / $3,235.83	Facility		$335.22	$1,025.55	$3,235.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.31 / $1,025.98 / $3,915.80	Professional		$387.31	$1,025.98	$3,915.80
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,287.00	Facility		$161.00	$950.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,502.17 / $2,141.34 / $3,570.21	Professional		$1,502.17	$2,141.34	$3,570.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,483.59 / $1,653.35 / $2,355.71	Professional		$1,483.59	$1,653.35	$2,355.71