Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,102.00 / $10,546.00	Facility		$748.00	$3,102.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.52 / $766.27 / $1,106.04	Professional		$330.52	$766.27	$1,106.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $316.45 / $623.80	Professional		$316.45	$316.45	$623.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.44 / $4,350.91 / $8,396.98	Facility		$2,466.44	$4,350.91	$8,396.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.62 / $744.39 / $1,243.71	Professional		$306.62	$744.39	$1,243.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,099.28 / $3,099.28 / $4,476.14	Facility		$3,099.28	$3,099.28	$4,476.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $306.27 / $306.27 / $306.27	Facility		$306.27	$306.27	$306.27
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 $374.85 / $690.93 / $1,557.01	Professional		$374.85	$690.93	$1,557.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,880.15 / $26,542.00 / $26,542.00	Facility		$1,880.15	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,579.00 / $6,364.00 / $6,739.05	Professional		$4,579.00	$6,364.00	$6,739.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $362.47 / $864.52 / $1,724.61	Facility		$362.47	$864.52	$1,724.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $421.77 / $1,000.81 / $1,347.24	Professional		$421.77	$1,000.81	$1,347.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.21 / $782.21 / $1,534.86	Professional		$329.21	$782.21	$1,534.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.47 / $870.45 / $1,943.39	Facility		$362.47	$870.45	$1,943.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.49 / $787.08 / $1,689.37	Professional		$390.49	$787.08	$1,689.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.25 / $996.72 / $1,576.75	Professional		$746.25	$996.72	$1,576.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $657.04 / $737.36 / $1,040.49	Professional		$657.04	$737.36	$1,040.49