Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.94 / $3,682.00 / $12,483.00	Facility		$950.94	$3,682.00	$12,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.46 / $960.47 / $1,678.09	Professional		$847.46	$960.47	$1,678.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $543.02 / $543.02 / $543.02	Professional		$543.02	$543.02	$543.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,880.42 / $7,275.80 / $14,551.59	Facility		$3,880.42	$7,275.80	$14,551.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.07 / $1,013.78 / $1,508.44	Professional		$787.07	$1,013.78	$1,508.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,584.73 / $2,584.73 / $3,733.02	Facility		$2,584.73	$2,584.73	$3,733.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $905.29 / $1,518.41 / $2,036.90	Professional		$905.29	$1,518.41	$2,036.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $821.13 / $821.13 / $832.30	Facility		$821.13	$821.13	$832.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.00 / $3,795.09 / $4,927.06	Facility		$2,847.00	$3,795.09	$4,927.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.61 / $1,210.44 / $1,867.30	Professional		$859.61	$1,210.44	$1,867.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,628.67 / $9,862.15 / $9,862.15	Professional		$8,628.67	$9,862.15	$9,862.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $889.97 / $1,114.18 / $2,086.57	Facility		$889.97	$1,114.18	$2,086.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.05 / $1,387.71 / $1,687.02	Professional		$1,043.05	$1,387.71	$1,687.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,229.50 / $2,378.19	Professional		$6.00	$1,229.50	$2,378.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.96 / $1,142.15 / $2,234.14	Facility		$898.96	$1,142.15	$2,234.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.03 / $1,269.44 / $2,317.67	Professional		$890.03	$1,269.44	$2,317.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.38 / $998.09 / $1,592.77	Professional		$741.38	$998.09	$1,592.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $774.10 / $903.31 / $1,222.14	Professional		$774.10	$903.31	$1,222.14