Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,292.48 / $12,026.00	Facility		$748.00	$3,292.48	$12,026.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.06 / $1,909.80 / $3,786.67	Professional		$426.06	$1,909.80	$3,786.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $249.24 / $408.59 / $498.48	Professional		$249.24	$408.59	$498.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,115.79 / $15,358.14 / $30,518.12	Facility		$9,115.79	$15,358.14	$30,518.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.89 / $2,255.36 / $3,649.10	Professional		$397.89	$2,255.36	$3,649.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $453.86 / $536.38 / $690.32	Professional		$453.86	$536.38	$690.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $383.63 / $9,276.60 / $9,276.60	Facility		$383.63	$9,276.60	$9,276.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,083.20 / $10,083.20 / $10,083.20	Facility		$10,083.20	$10,083.20	$10,083.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.74 / $1,072.94 / $4,763.80	Professional		$499.74	$1,072.94	$4,763.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,367.00	Facility		$55.00	$55.00	$3,367.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,721.42 / $18,488.33 / $21,924.98	Professional		$9,721.42	$18,488.33	$21,924.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.11 / $1,956.02 / $4,727.97	Facility		$449.11	$1,956.02	$4,727.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $541.61 / $3,257.23 / $4,384.72	Professional		$541.61	$3,257.23	$4,384.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $438.91 / $2,292.71 / $4,549.30	Professional		$438.91	$2,292.71	$4,549.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.11 / $2,292.71 / $6,078.24	Facility		$449.11	$2,292.71	$6,078.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.74 / $1,324.58 / $5,181.81	Professional		$499.74	$1,324.58	$5,181.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $28,862.00	Facility		$4,409.00	$9,027.00	$28,862.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,716.94 / $3,755.76 / $5,770.88	Professional		$2,716.94	$3,755.76	$5,770.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,138.42 / $2,382.64 / $3,396.82	Professional		$2,138.42	$2,382.64	$3,396.82