Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,594.00 / $6,837.00	Facility		$669.00	$2,594.00	$6,837.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $616.17 / $1,014.42	Professional		$190.44	$616.17	$1,014.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $685.62 / $685.62 / $685.62	Professional		$685.62	$685.62	$685.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.85 / $2,834.48 / $6,005.55	Facility		$1,627.85	$2,834.48	$6,005.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $600.55 / $1,175.00	Professional		$183.47	$600.55	$1,175.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,889.41 / $2,889.41 / $4,173.04	Facility		$2,889.41	$2,889.41	$4,173.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $517.00 / $517.00	Professional		$517.00	$517.00	$517.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.57 / $2,937.97 / $2,937.97	Facility		$173.57	$2,937.97	$2,937.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.04 / $619.02 / $1,304.03	Professional		$216.04	$619.02	$1,304.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $969.24 / $16,394.00 / $16,394.00	Facility		$969.24	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,777.18 / $8,265.00 / $8,512.95	Professional		$2,777.18	$8,265.00	$8,512.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.17 / $622.58 / $1,916.91	Facility		$198.17	$622.58	$1,916.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.72 / $789.90 / $1,292.56	Professional		$252.72	$789.90	$1,292.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $459.30 / $459.30 / $459.30	Professional		$459.30	$459.30	$459.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.17 / $623.89 / $1,987.07	Facility		$198.17	$623.89	$1,987.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.41 / $717.25 / $1,450.22	Professional		$218.41	$717.25	$1,450.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.98 / $824.28 / $1,536.54	Professional		$586.98	$824.28	$1,536.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $612.87 / $685.62 / $974.08	Professional		$612.87	$685.62	$974.08