Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.05 / $826.04 / $5,880.77	Facility		$653.05	$826.04	$5,880.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.04 / $2,769.13 / $8,131.15	Professional		$647.04	$2,769.13	$8,131.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.58 / $508.87 / $2,154.50	Professional		$465.58	$508.87	$2,154.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,124.95 / $15,240.17 / $30,480.33	Facility		$8,124.95	$15,240.17	$30,480.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.00 / $3,376.55 / $5,555.41	Professional		$487.00	$3,376.55	$5,555.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $256.04 / $12,182.78 / $48,048.45	Facility		$256.04	$12,182.78	$48,048.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $418.86 / $656.94 / $901.13	Professional		$418.86	$656.94	$901.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $818.98 / $818.98	Professional		$818.98	$818.98	$818.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,143.30	Facility		$55.00	$55.00	$7,143.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $238.88 / $245.87 / $245.87	Facility	AS	$238.88	$245.87	$245.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,682.37 / $28,088.65 / $32,833.65	Professional		$15,682.37	$28,088.65	$32,833.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.94 / $2,394.65 / $8,144.92	Facility		$559.94	$2,394.65	$8,144.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $500.63 / $500.63 / $576.82	Professional		$500.63	$500.63	$576.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $547.16 / $3,425.36 / $7,353.48	Professional		$547.16	$3,425.36	$7,353.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.16 / $3,180.96 / $9,275.85	Facility		$547.16	$3,180.96	$9,275.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $5,003.68 / $12,890.45	Professional		$954.00	$5,003.68	$12,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $4,171.10 / $5,587.40 / $8,898.37	Professional		$4,171.10	$5,587.40	$8,898.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,202.38 / $3,564.10 / $5,089.22	Professional		$3,202.38	$3,564.10	$5,089.22