Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,219.00 / $11,453.00	Facility		$747.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $1,165.67 / $2,881.00	Professional		$217.71	$1,165.67	$2,881.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $204.08 / $205.18	Professional		$102.59	$204.08	$205.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,998.69 / $7,078.13 / $13,880.49	Facility		$3,998.69	$7,078.13	$13,880.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.87 / $1,560.76 / $2,700.89	Professional		$199.87	$1,560.76	$2,700.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $345.25 / $345.25 / $345.25	Professional		$345.25	$345.25	$345.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $188.67 / $4,297.52 / $4,297.52	Facility		$188.67	$4,297.52	$4,297.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $561.67 / $4,256.24	Professional		$257.58	$561.67	$4,256.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,465.56	Facility		$55.00	$55.00	$1,465.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,334.07 / $13,741.47 / $16,089.23	Professional		$7,334.07	$13,741.47	$16,089.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.70 / $1,561.92 / $3,851.47	Facility		$225.70	$1,561.92	$3,851.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $2,396.88 / $3,226.56	Professional		$271.64	$2,396.88	$3,226.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.35 / $840.49 / $3,921.99	Professional		$208.35	$840.49	$3,921.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.70 / $1,561.92 / $4,475.30	Facility		$225.70	$1,561.92	$4,475.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $715.63 / $4,509.39	Professional		$258.00	$715.63	$4,509.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,964.72 / $2,701.49 / $4,278.18	Professional		$1,964.72	$2,701.49	$4,278.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,573.59 / $1,750.05 / $2,503.67	Professional		$1,573.59	$1,750.05	$2,503.67