Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.34 / $1,060.35 / $12,630.50	Facility		$840.34	$1,060.35	$12,630.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.10 / $3,570.56 / $17,496.59	Professional		$806.10	$3,570.56	$17,496.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $326.30 / $681.20	Professional		$326.30	$326.30	$681.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,273.78 / $24,069.35 / $48,935.71	Facility		$12,273.78	$24,069.35	$48,935.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.13 / $7,323.66 / $11,849.45	Professional		$623.13	$7,323.66	$11,849.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $659.06 / $21,162.00 / $74,092.14	Facility		$659.06	$21,162.00	$74,092.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $714.37 / $844.26 / $1,346.07	Professional		$714.37	$844.26	$1,346.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.50 / $1,025.50 / $1,025.50	Professional		$1,025.50	$1,025.50	$1,025.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,257.13	Facility		$55.00	$55.00	$15,257.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,394.63 / $60,798.81 / $70,647.60	Professional		$31,394.63	$60,798.81	$70,647.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.30 / $3,074.93 / $14,202.72	Facility		$718.30	$3,074.93	$14,202.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.64 / $642.64 / $642.64	Professional		$642.64	$642.64	$642.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $701.72 / $7,339.35 / $15,624.57	Professional		$701.72	$7,339.35	$15,624.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.72 / $6,831.93 / $14,061.43	Facility		$701.72	$6,831.93	$14,061.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,227.53 / $10,822.13 / $27,707.00	Professional		$1,227.53	$10,822.13	$27,707.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,550.09 / $10,456.95 / $15,936.41	Professional		$7,550.09	$10,456.95	$15,936.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,892.58 / $7,654.82 / $10,964.24	Professional		$6,892.58	$7,654.82	$10,964.24