Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,102.00 / $10,234.00	Facility		$747.00	$3,102.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $1,022.93 / $1,437.74	Professional		$282.95	$1,022.93	$1,437.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $871.36 / $1,010.77	Professional		$281.33	$871.36	$1,010.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,438.73 / $4,275.00 / $8,427.00	Facility		$2,438.73	$4,275.00	$8,427.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $839.90 / $1,308.17	Professional		$251.23	$839.90	$1,308.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $3,027.01 / $9,396.64	Facility		$673.20	$3,027.01	$9,396.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $501.03 / $623.05 / $1,321.83	Professional		$501.03	$623.05	$1,321.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $242.58 / $1,666.33 / $1,666.33	Facility		$242.58	$1,666.33	$1,666.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.81 / $1,022.34 / $2,385.60	Professional		$318.81	$1,022.34	$2,385.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $26,542.00 / $26,542.00	Facility		$1,839.72	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,157.00 / $11,167.89 / $11,536.43	Professional		$9,157.00	$11,167.89	$11,536.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.44 / $977.73 / $2,690.23	Facility		$297.44	$977.73	$2,690.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $343.97 / $1,186.24 / $2,987.58	Professional		$343.97	$1,186.24	$2,987.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.97 / $909.88 / $1,771.99	Professional		$262.97	$909.88	$1,771.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.44 / $1,024.29 / $2,771.93	Facility		$297.44	$1,024.29	$2,771.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $1,130.42 / $2,392.38	Professional		$325.55	$1,130.42	$2,392.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.48 / $1,379.07 / $2,332.26	Professional		$923.48	$1,379.07	$2,332.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $778.78 / $871.36 / $1,235.33	Professional		$778.78	$871.36	$1,235.33