Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.79 / $791.79 / $11,430.30	Facility		$625.79	$791.79	$11,430.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.58 / $2,653.59 / $15,895.10	Professional		$588.58	$2,653.59	$15,895.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.92 / $484.36 / $919.33	Professional		$287.92	$484.36	$919.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,917.62 / $15,308.00 / $31,013.54	Facility		$8,917.62	$15,308.00	$31,013.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.88 / $6,697.75 / $10,836.74	Professional		$466.88	$6,697.75	$10,836.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $12,182.78 / $32,619.34	Facility		$491.00	$12,182.78	$32,619.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $479.87 / $736.23 / $10,461.69	Professional		$479.87	$736.23	$10,461.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.93 / $764.93 / $764.93	Professional		$764.93	$764.93	$764.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,735.73	Facility		$55.00	$55.00	$12,735.73
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $229.04 / $235.61 / $235.61	Facility	AS	$229.04	$235.61	$235.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,571.80 / $55,711.16 / $63,971.70	Professional		$28,571.80	$55,711.16	$63,971.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.60 / $2,295.26 / $14,146.98	Facility		$537.60	$2,295.26	$14,146.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.87 / $479.87 / $479.87	Professional		$479.87	$479.87	$479.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $525.11 / $6,638.41 / $14,255.19	Professional		$525.11	$6,638.41	$14,255.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.11 / $6,182.76 / $15,344.93	Facility		$525.11	$6,182.76	$15,344.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $915.96 / $9,842.50 / $25,340.06	Professional		$915.96	$9,842.50	$25,340.06
United Facility/Professional Professional Modifier Low / Median / High Price $7,714.16 / $10,357.23 / $16,456.86	Professional		$7,714.16	$10,357.23	$16,456.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,240.79 / $6,927.46 / $9,929.20	Professional		$6,240.79	$6,927.46	$9,929.20