Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,500.00 / $7,078.00	Facility		$647.00	$2,500.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $1,333.36 / $1,806.88	Professional		$115.45	$1,333.36	$1,806.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,685.28 / $2,685.28 / $2,685.28	Professional	50	$2,685.28	$2,685.28	$2,685.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,043.60 / $1,122.16 / $1,373.17	Professional		$1,043.60	$1,122.16	$1,373.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,565.42 / $1,665.71 / $2,059.75	Professional	50	$1,565.42	$1,665.71	$2,059.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.75 / $1,500.51 / $5,821.21	Facility		$811.75	$1,500.51	$5,821.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $1,026.13 / $1,682.27	Professional		$107.67	$1,026.13	$1,682.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,189.76 / $1,749.44 / $2,032.93	Professional		$1,189.76	$1,749.44	$2,032.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $103.84 / $884.65 / $884.65	Facility		$103.84	$884.65	$884.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.30 / $1,408.30 / $1,408.30	Facility		$1,408.30	$1,408.30	$1,408.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $283.27 / $2,475.31	Professional		$136.69	$283.27	$2,475.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $556.61	Facility		$55.00	$55.00	$556.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,581.68 / $8,799.82 / $10,348.04	Professional		$4,581.68	$8,799.82	$10,348.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $526.73 / $2,170.53	Facility		$120.24	$526.73	$2,170.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $1,656.54 / $3,330.00	Professional		$148.86	$1,656.54	$3,330.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $1,079.68 / $2,325.06	Professional		$114.19	$1,079.68	$2,325.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $1,076.53 / $2,343.40	Facility		$120.24	$1,076.53	$2,343.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $363.01 / $2,592.17	Professional		$138.69	$363.01	$2,592.17
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.61 / $1,669.44 / $2,635.09	Professional		$1,211.61	$1,669.44	$2,635.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,009.85 / $1,122.16 / $1,606.18	Professional		$1,009.85	$1,122.16	$1,606.18