Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,365.16 / $15,135.61	Facility		$1,148.15	$4,365.16	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,513.56 / $2,818.38	Professional		$436.52	$1,513.56	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $1,122.02	Professional		$190.55	$371.54	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $15,135.61 / $26,915.35	Facility		$5,495.41	$15,135.61	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,174.90 / $2,041.74	Professional		$346.74	$1,174.90	$2,041.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $660.69	Professional		$446.68	$562.34	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $15,135.61 / $15,135.61	Facility		$371.54	$15,135.61	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,096.48 / $3,715.35	Professional		$489.78	$1,096.48	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $67,608.30	Facility		$54.95	$56.23	$67,608.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $16,595.87	Professional		$14,454.40	$14,454.40	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,454.71 / $10,232.93	Facility		$512.86	$2,454.71	$10,232.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,737.80 / $3,090.30	Professional		$446.68	$1,737.80	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,479.11 / $5,888.44	Professional		$371.54	$1,479.11	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,698.24 / $4,570.88	Facility		$457.09	$1,698.24	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,071.52 / $3,801.89	Professional		$478.63	$1,071.52	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,445.44 / $3,388.44	Professional		$407.38	$1,445.44	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,659.59	Professional		$1,548.82	$1,548.82	$1,659.59