Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,766.00 / $16,034.00	Facility		$935.00	$3,766.00	$16,034.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $1,176.85 / $1,831.19	Professional		$292.22	$1,176.85	$1,831.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $137.84 / $144.06	Professional		$128.19	$137.84	$144.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.75 / $7,876.72 / $16,744.22	Facility		$4,755.75	$7,876.72	$16,744.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.82 / $969.44 / $1,741.06	Professional		$263.82	$969.44	$1,741.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $6,684.46 / $6,684.46 / $9,654.04	Facility		$6,684.46	$6,684.46	$9,654.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $256.73 / $698.80 / $698.80	Facility		$256.73	$698.80	$698.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,767.00 / $4,767.00 / $4,767.00	Facility		$4,767.00	$4,767.00	$4,767.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.50 / $705.74 / $2,305.32	Professional		$336.50	$705.74	$2,305.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,966.32	Facility		$55.00	$55.00	$1,966.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,803.78 / $9,169.20 / $10,808.03	Professional		$4,803.78	$9,169.20	$10,808.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.56 / $1,140.27 / $2,278.36	Facility		$295.56	$1,140.27	$2,278.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $1,612.64 / $2,170.86	Professional		$365.00	$1,612.64	$2,170.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $1,140.27 / $2,270.03	Professional		$293.77	$1,140.27	$2,270.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.56 / $1,182.61 / $2,817.18	Facility		$295.56	$1,182.61	$2,817.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.50 / $888.89 / $2,500.09	Professional		$336.50	$888.89	$2,500.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.45 / $1,626.80 / $2,555.19	Professional		$1,202.45	$1,626.80	$2,555.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,058.72 / $1,182.61 / $1,682.32	Professional		$1,058.72	$1,182.61	$1,682.32