Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,730.00 / $14,449.00	Facility		$921.00	$3,730.00	$14,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.87 / $1,765.57 / $3,063.62	Professional		$437.87	$1,765.57	$3,063.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.10 / $1,848.91 / $1,965.40	Professional		$436.10	$1,848.91	$1,965.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,459.41 / $15,556.31 / $31,013.54	Facility		$9,459.41	$15,556.31	$31,013.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.13 / $1,868.49 / $2,923.64	Professional		$399.13	$1,868.49	$2,923.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5,069.04 / $11,489.15 / $30,033.54	Facility		$5,069.04	$11,489.15	$30,033.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.97 / $9,598.35 / $9,598.35	Facility		$380.97	$9,598.35	$9,598.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,317.58 / $9,317.58 / $9,317.58	Facility		$9,317.58	$9,317.58	$9,317.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.56 / $921.70 / $3,624.02	Professional		$498.56	$921.70	$3,624.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,427.97	Facility		$55.00	$55.00	$3,427.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,054.86 / $15,435.28 / $18,182.84	Professional		$8,054.86	$15,435.28	$18,182.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.89 / $1,914.88 / $3,813.80	Facility		$439.89	$1,914.88	$3,813.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.55 / $2,713.52 / $3,652.81	Professional		$544.55	$2,713.52	$3,652.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $437.43 / $1,914.88 / $4,046.59	Professional		$437.43	$1,914.88	$4,046.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.89 / $1,984.06 / $4,440.47	Facility		$439.89	$1,984.06	$4,440.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $498.59 / $1,328.70 / $4,005.55	Professional		$498.59	$1,328.70	$4,005.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $8,529.00 / $17,847.00	Facility		$4,409.00	$8,529.00	$17,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,860.87 / $2,527.78 / $4,004.59	Professional		$1,860.87	$2,527.78	$4,004.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,781.47 / $1,988.08 / $2,832.03	Professional		$1,781.47	$1,988.08	$2,832.03