Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,562.00 / $7,497.00	Facility		$652.00	$2,562.00	$7,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.45 / $1,288.65 / $1,894.79	Professional		$347.45	$1,288.65	$1,894.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.73 / $307.73 / $430.17	Professional		$307.73	$307.73	$430.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.44 / $4,406.34 / $9,347.77	Facility		$2,466.44	$4,406.34	$9,347.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.11 / $1,018.21 / $2,094.42	Professional		$333.11	$1,018.21	$2,094.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $170.02 / $4,389.50 / $12,777.95	Facility		$170.02	$4,389.50	$12,777.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $330.90 / $435.60 / $579.08	Professional		$330.90	$435.60	$579.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $304.26 / $2,351.59 / $2,351.59	Facility		$304.26	$2,351.59	$2,351.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.94 / $597.94 / $597.94	Facility		$597.94	$597.94	$597.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.81 / $859.34 / $2,547.98	Professional		$396.81	$859.34	$2,547.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,344.67 / $2,407.02	Facility		$55.00	$2,344.67	$2,407.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,042.29 / $9,453.68 / $11,253.68	Professional		$5,042.29	$9,453.68	$11,253.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.46 / $1,124.80 / $2,295.19	Facility		$346.46	$1,124.80	$2,295.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $439.43 / $1,607.21 / $2,992.74	Professional		$439.43	$1,607.21	$2,992.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $838.15 / $3,246.40	Professional		$213.51	$838.15	$3,246.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.46 / $1,150.83 / $2,346.57	Facility		$346.46	$1,150.83	$2,346.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.85 / $976.34 / $3,084.90	Professional		$414.85	$976.34	$3,084.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,262.32 / $1,699.50 / $2,793.88	Professional		$1,262.32	$1,699.50	$2,793.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,097.36 / $1,226.52 / $1,740.77	Professional		$1,097.36	$1,226.52	$1,740.77