Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,496.00 / $7,316.00	Facility		$657.00	$2,496.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $790.26 / $1,619.62	Professional		$113.69	$790.26	$1,619.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $196.94 / $196.94	Professional		$196.94	$196.94	$196.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.79 / $1,012.62 / $2,177.73	Facility		$578.79	$1,012.62	$2,177.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $912.02 / $1,634.99	Professional		$107.11	$912.02	$1,634.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $192.17 / $257.47	Professional		$112.29	$192.17	$257.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $103.80 / $103.80 / $1,155.04	Facility		$103.80	$103.80	$1,155.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $3,951.00 / $6,948.00	Facility		$202.58	$3,951.00	$6,948.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $318.00 / $1,878.84	Professional		$134.75	$318.00	$1,878.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,187.65	Facility		$55.00	$55.00	$2,187.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,455.99 / $8,593.04 / $10,144.87	Professional		$4,455.99	$8,593.04	$10,144.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $706.69 / $1,910.80	Facility		$114.92	$706.69	$1,910.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $1,279.15 / $2,075.71	Professional		$148.86	$1,279.15	$2,075.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,872.90 / $3,663.40	Professional		$6.00	$2,872.90	$3,663.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $831.40 / $2,092.06	Facility		$115.08	$831.40	$2,092.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $384.07 / $2,469.10	Professional		$138.10	$384.07	$2,469.10
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,527.00 / $3,260.00	Facility		$371.00	$1,527.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.71 / $1,200.39 / $1,945.46	Professional		$864.71	$1,200.39	$1,945.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $992.47 / $1,160.65 / $1,579.66	Professional		$992.47	$1,160.65	$1,579.66