Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.13 / $910.12 / $12,352.60	Facility		$721.13	$910.12	$12,352.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.26 / $3,079.48 / $17,162.50	Professional		$713.26	$3,079.48	$17,162.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.95 / $793.24 / $7,486.43	Professional		$330.95	$793.24	$7,486.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,016.71 / $15,308.00 / $31,013.54	Facility		$9,016.71	$15,308.00	$31,013.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.30 / $6,269.91 / $11,260.46	Professional		$531.30	$6,269.91	$11,260.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $569.52 / $19,911.89 / $48,048.45	Facility		$569.52	$19,911.89	$48,048.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $924.51 / $5,399.44 / $8,281.92	Professional		$924.51	$5,399.44	$8,281.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.58 / $901.58 / $901.58	Professional		$901.58	$901.58	$901.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,750.19	Facility		$55.00	$55.00	$13,750.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,793.20 / $59,714.29 / $69,100.80	Professional		$31,793.20	$59,714.29	$69,100.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.97 / $6,681.64 / $16,189.51	Facility		$614.97	$6,681.64	$16,189.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $551.59 / $2,385.00 / $10,383.03	Professional		$551.59	$2,385.00	$10,383.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.94 / $7,174.96 / $15,317.00	Professional		$600.94	$7,174.96	$15,317.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.94 / $6,681.64 / $18,675.08	Facility		$600.94	$6,681.64	$18,675.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,057.85 / $10,624.50 / $27,224.96	Professional		$1,057.85	$10,624.50	$27,224.96
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $2,666.67 / $2,666.67 / $2,666.67	Professional	80	$2,666.67	$2,666.67	$2,666.67
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $2,266.67 / $2,266.67 / $2,266.67	Professional	AS	$2,266.67	$2,266.67	$2,266.67
United Facility/Professional Professional Modifier Low / Median / High Price $9,016.15 / $12,031.18 / $19,325.61	Professional		$9,016.15	$12,031.18	$19,325.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,743.23 / $7,486.43 / $10,728.92	Professional		$6,743.23	$7,486.43	$10,728.92