Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,317.00 / $7,542.00	Facility		$500.00	$2,317.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $1,641.98 / $2,609.39	Professional		$192.98	$1,641.98	$2,609.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,517.25 / $1,517.25 / $1,517.25	Professional		$1,517.25	$1,517.25	$1,517.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $12,723.00 / $19,343.00	Facility		$1,845.00	$12,723.00	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $1,407.15 / $2,456.73	Professional		$181.31	$1,407.15	$2,456.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $193.59 / $193.59 / $2,622.41	Facility		$193.59	$193.59	$2,622.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.41 / $173.41 / $173.41	Facility		$173.41	$173.41	$173.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $418.67 / $3,113.97	Professional		$221.72	$418.67	$3,113.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,247.57	Facility		$55.00	$55.00	$3,247.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,650.92 / $13,052.90 / $15,009.23	Professional		$6,650.92	$13,052.90	$15,009.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.25 / $899.57 / $3,221.60	Facility		$200.25	$899.57	$3,221.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.42 / $331.71 / $3,008.06	Professional		$246.42	$331.71	$3,008.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $1,566.03 / $3,406.91	Professional		$198.70	$1,566.03	$3,406.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.25 / $1,456.07 / $3,654.75	Facility		$200.25	$1,456.07	$3,654.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $581.41 / $3,347.63	Professional		$221.72	$581.41	$3,347.63
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,608.45 / $2,153.14 / $3,485.16	Professional		$1,608.45	$2,153.14	$3,485.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,467.02 / $1,631.45 / $2,333.71	Professional		$1,467.02	$1,631.45	$2,333.71