Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,060.00 / $10,639.00	Facility		$747.00	$3,060.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $1,692.37 / $2,317.00	Professional		$174.43	$1,692.37	$2,317.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,336.69 / $2,336.69 / $2,336.69	Professional	50	$2,336.69	$2,336.69	$2,336.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,452.73 / $1,546.12 / $2,040.88	Professional		$1,452.73	$1,546.12	$2,040.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,745.45 / $3,382.93 / $12,709.58	Facility		$1,745.45	$3,382.93	$12,709.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $1,324.94 / $2,215.21	Professional		$161.51	$1,324.94	$2,215.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,539.14 / $2,324.37 / $2,628.68	Professional		$1,539.14	$2,324.37	$2,628.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $155.99 / $1,515.28 / $1,515.28	Facility		$155.99	$1,515.28	$1,515.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,002.12 / $2,002.12 / $2,002.12	Facility		$2,002.12	$2,002.12	$2,002.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.84 / $385.98 / $3,263.53	Professional		$200.84	$385.98	$3,263.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,186.85	Facility		$55.00	$55.00	$1,186.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,895.90 / $11,282.72 / $13,386.90	Professional		$5,895.90	$11,282.72	$13,386.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.33 / $797.01 / $2,762.32	Facility		$179.33	$797.01	$2,762.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $1,451.49 / $2,679.18	Professional		$222.03	$1,451.49	$2,679.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $1,394.45 / $2,983.14	Professional		$169.71	$1,394.45	$2,983.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.33 / $1,394.45 / $2,982.32	Facility		$179.33	$1,394.45	$2,982.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.49 / $537.66 / $3,380.19	Professional		$204.49	$537.66	$3,380.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,612.81 / $2,150.41 / $3,348.66	Professional		$1,612.81	$2,150.41	$3,348.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,306.63 / $1,452.73 / $2,077.84	Professional		$1,306.63	$1,452.73	$2,077.84