Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,630.00 / $7,495.00	Facility		$652.00	$2,630.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $536.86 / $3,489.48	Professional		$260.27	$536.86	$3,489.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.95 / $280.22 / $1,928.42	Professional		$229.95	$280.22	$1,928.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.71 / $1,576.63 / $3,384.22	Facility		$883.71	$1,576.63	$3,384.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.97 / $1,888.07 / $3,162.62	Professional		$245.97	$1,888.07	$3,162.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $556.20 / $1,107.68 / $3,941.85	Facility		$556.20	$1,107.68	$3,941.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $252.69 / $353.77 / $513.14	Professional		$252.69	$353.77	$513.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $234.67 / $492.71 / $492.71	Facility		$234.67	$492.71	$492.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $3,125.00	Facility		$684.87	$908.58	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.02 / $685.18 / $4,005.67	Professional		$308.02	$685.18	$4,005.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,880.05	Facility		$55.00	$55.00	$3,880.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,697.96 / $16,791.79 / $19,487.48	Professional		$8,697.96	$16,791.79	$19,487.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.31 / $791.49 / $4,119.03	Facility		$261.31	$791.49	$4,119.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.99 / $1,088.38 / $3,908.68	Professional		$335.99	$1,088.38	$3,908.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.71 / $1,453.03 / $3,419.00	Facility		$229.71	$1,453.03	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $1,270.07 / $4,465.56	Professional		$256.95	$1,270.07	$4,465.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.31 / $908.58 / $4,387.97	Facility		$261.31	$908.58	$4,387.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $728.53 / $5,347.95	Professional		$320.00	$728.53	$5,347.95
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.40 / $2,761.65 / $4,766.77	Professional		$567.40	$2,761.65	$4,766.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,906.25 / $2,229.15 / $3,033.64	Professional		$1,906.25	$2,229.15	$3,033.64