Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.86 / $3,500.00 / $10,836.00	Facility		$791.86	$3,500.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.03 / $3,516.18 / $9,018.29	Professional		$662.03	$3,516.18	$9,018.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $311.95 / $570.63	Professional		$311.95	$311.95	$570.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,933.89 / $15,358.14 / $30,518.12	Facility		$8,933.89	$15,358.14	$30,518.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.21 / $5,376.04 / $8,488.48	Professional		$596.21	$5,376.04	$8,488.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $686.32 / $854.78 / $1,284.19	Professional		$686.32	$854.78	$1,284.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $560.54 / $560.54 / $560.54	Facility		$560.54	$560.54	$560.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.18 / $1,596.68 / $10,826.32	Professional		$745.18	$1,596.68	$10,826.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,265.95	Facility		$55.00	$55.00	$10,265.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,028.02 / $44,498.52 / $52,245.15	Professional		$23,028.02	$44,498.52	$52,245.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $659.83 / $2,961.22 / $10,987.35	Facility		$659.83	$2,961.22	$10,987.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $811.15 / $5,021.00 / $10,487.47	Professional		$811.15	$5,021.00	$10,487.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $641.41 / $1,408.34 / $7,070.10	Professional		$641.41	$1,408.34	$7,070.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.83 / $5,075.80 / $11,506.61	Facility		$659.83	$5,075.80	$11,506.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.37 / $1,983.78 / $11,581.82	Professional		$757.37	$1,983.78	$11,581.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $8,529.00 / $17,847.00	Facility		$4,409.00	$8,529.00	$17,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,440.90 / $7,404.36 / $12,133.19	Professional		$5,440.90	$7,404.36	$12,133.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,114.71 / $5,687.17 / $8,141.01	Professional		$5,114.71	$5,687.17	$8,141.01