Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.00 / $4,753.00 / $13,813.00	Facility		$1,276.00	$4,753.00	$13,813.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.12 / $1,144.97 / $1,984.23	Professional		$986.12	$1,144.97	$1,984.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,268.50 / $1,268.50 / $1,306.84	Professional		$1,268.50	$1,268.50	$1,306.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,152.29 / $12,619.67 / $25,071.07	Facility		$6,152.29	$12,619.67	$25,071.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.79 / $1,217.70 / $1,811.87	Professional		$908.79	$1,217.70	$1,811.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,071.20 / $8,714.87 / $13,762.86	Facility		$1,071.20	$8,714.87	$13,762.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $962.35 / $962.35 / $962.35	Facility		$962.35	$962.35	$962.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,027.91 / $7,027.91 / $7,027.91	Facility		$7,027.91	$7,027.91	$7,027.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.94 / $1,538.37 / $2,333.10	Professional		$1,118.94	$1,538.37	$2,333.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $27,770.10	Facility		$12,131.00	$26,542.00	$27,770.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,009.04 / $8,246.08 / $9,372.08	Professional		$8,009.04	$8,246.08	$9,372.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,078.19 / $1,437.55 / $2,418.16	Facility		$1,078.19	$1,437.55	$2,418.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.00 / $1,655.93 / $2,013.10	Professional		$1,407.00	$1,655.93	$2,013.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.90 / $1,508.90 / $1,508.90	Professional		$1,508.90	$1,508.90	$1,508.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,078.19 / $1,457.00 / $2,864.34	Facility		$1,078.19	$1,457.00	$2,864.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,118.94 / $1,568.54 / $2,457.14	Professional		$1,118.94	$1,568.54	$2,457.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.84 / $1,254.70 / $1,970.57	Professional		$916.84	$1,254.70	$1,970.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $923.72 / $1,057.08 / $1,455.93	Professional		$923.72	$1,057.08	$1,455.93