Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.12 / $1,092.15 / $15,774.10	Facility		$866.12	$1,092.15	$15,774.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.52 / $3,700.69 / $21,913.30	Professional		$861.52	$3,700.69	$21,913.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $721.77 / $9,454.45 / $11,558.15	Professional		$721.77	$9,454.45	$11,558.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,867.77 / $24,388.15 / $49,095.11	Facility		$13,867.77	$24,388.15	$49,095.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.10 / $9,217.46 / $15,287.97	Professional		$645.10	$9,217.46	$15,287.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $735.38 / $917.83 / $1,391.75	Professional		$735.38	$917.83	$1,391.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.86 / $1,088.86 / $1,088.86	Professional		$1,088.86	$1,088.86	$1,088.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,551.46	Facility		$55.00	$55.00	$17,551.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42,239.10 / $76,528.09 / $88,256.40	Professional		$42,239.10	$76,528.09	$88,256.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.19 / $8,532.37 / $21,869.08	Facility		$738.19	$8,532.37	$21,869.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $661.91 / $13,211.64 / $24,567.00	Professional		$661.91	$13,211.64	$24,567.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $721.77 / $9,161.04 / $19,844.25	Professional		$721.77	$9,161.04	$19,844.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $721.77 / $9,161.04 / $25,148.51	Facility		$721.77	$9,161.04	$25,148.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,267.38 / $13,569.89 / $34,872.71	Professional		$1,267.38	$13,569.89	$34,872.71
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $3,416.93 / $3,416.93 / $3,416.93	Professional	80	$3,416.93	$3,416.93	$3,416.93
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $2,904.39 / $2,904.39 / $2,904.39	Professional	AS	$2,904.39	$2,904.39	$2,904.39
United Facility/Professional Facility Modifier Low / Median / High Price $27,310.95 / $28,394.37 / $37,456.40	Facility		$27,310.95	$28,394.37	$37,456.40
United Facility/Professional Professional Modifier Low / Median / High Price $11,913.03 / $15,837.11 / $24,389.44	Professional		$11,913.03	$15,837.11	$24,389.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8,612.20 / $9,560.09 / $13,703.19	Professional		$8,612.20	$9,560.09	$13,703.19