Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,362.00 / $10,669.74	Facility		$788.00	$3,362.00	$10,669.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.67 / $730.37 / $1,134.88	Professional		$624.67	$730.37	$1,134.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $570.51 / $650.26 / $887.11	Professional		$570.51	$650.26	$887.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,492.73 / $4,378.62 / $8,313.84	Facility		$2,492.73	$4,378.62	$8,313.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.27 / $645.08 / $1,027.82	Professional		$518.27	$645.08	$1,027.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $3,467.86 / $9,923.14	Facility		$816.00	$3,467.86	$9,923.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $683.75 / $808.07 / $1,039.35	Professional		$683.75	$808.07	$1,039.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $588.38 / $3,934.97 / $3,934.97	Facility		$588.38	$3,934.97	$3,934.97
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 $670.81 / $889.51 / $1,318.68	Professional		$670.81	$889.51	$1,318.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $26,542.00 / $26,542.00	Facility		$9,011.04	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $143.72 / $854.12 / $854.12	Facility	AS	$143.72	$854.12	$854.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,580.16 / $4,667.04 / $5,543.70	Professional		$4,580.16	$4,667.04	$5,543.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.23 / $809.20 / $1,470.75	Facility		$641.23	$809.20	$1,470.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $711.65 / $878.99 / $1,130.13	Professional		$711.65	$878.99	$1,130.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $608.41 / $778.24 / $1,364.82	Professional		$608.41	$778.24	$1,364.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.23 / $816.11 / $1,660.42	Facility		$641.23	$816.11	$1,660.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.81 / $931.61 / $1,466.99	Professional		$670.81	$931.61	$1,466.99
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 $527.40 / $721.26 / $1,170.46	Professional		$527.40	$721.26	$1,170.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $535.85 / $613.45 / $839.15	Professional		$535.85	$613.45	$839.15