Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,496.00 / $7,495.00	Facility		$652.00	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $1,395.10 / $1,989.03	Professional		$150.15	$1,395.10	$1,989.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.10 / $1,254.45 / $1,655.87	Professional		$1,096.10	$1,254.45	$1,655.87
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 $138.91 / $1,160.61 / $1,876.15	Professional		$138.91	$1,160.61	$1,876.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $1,178.60 / $2,067.91	Professional		$163.02	$1,178.60	$2,067.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.21 / $1,372.18 / $1,372.18	Facility		$131.21	$1,372.18	$1,372.18
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 $173.06 / $360.20 / $2,585.91	Professional		$173.06	$360.20	$2,585.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $703.52	Facility		$55.00	$55.00	$703.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,827.16 / $9,721.28 / $10,857.23	Professional		$4,827.16	$9,721.28	$10,857.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.16 / $683.57 / $2,398.57	Facility		$153.16	$683.57	$2,398.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.97 / $1,614.31 / $2,235.19	Professional		$187.97	$1,614.31	$2,235.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $1,164.72 / $2,424.67	Professional		$143.69	$1,164.72	$2,424.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.16 / $1,131.59 / $2,589.60	Facility		$153.16	$1,131.59	$2,589.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $462.47 / $2,728.17	Professional		$176.47	$462.47	$2,728.17
United Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $2,494.00 / $4,764.00	Facility		$720.00	$2,494.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.75 / $1,771.68 / $2,865.76	Professional		$1,289.75	$1,771.68	$2,865.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,059.82 / $1,178.60 / $1,685.26	Professional		$1,059.82	$1,178.60	$1,685.26