Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $4,008.50 / $9,740.79	Facility		$1,077.00	$4,008.50	$9,740.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.24 / $662.16 / $2,619.11	Professional		$225.24	$662.16	$2,619.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.60 / $287.60 / $287.60	Professional		$287.60	$287.60	$287.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.52 / $6,706.32 / $12,900.05	Facility		$3,673.52	$6,706.32	$12,900.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $1,528.75 / $2,745.57	Professional		$199.56	$1,528.75	$2,745.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,071.20 / $4,330.89 / $13,285.49	Facility		$1,071.20	$4,330.89	$13,285.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.32 / $4,899.33 / $4,899.33	Facility		$213.32	$4,899.33	$4,899.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $7,878.00	Facility		$3,194.69	$3,194.69	$7,878.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.39 / $1,721.37 / $3,185.40	Professional		$272.39	$1,721.37	$3,185.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,608.01 / $26,542.00 / $26,542.00	Facility		$3,608.01	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,505.58 / $14,339.95 / $16,676.25	Professional		$7,505.58	$14,339.95	$16,676.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.88 / $1,483.20 / $3,542.70	Facility		$261.88	$1,483.20	$3,542.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.49 / $2,100.35 / $3,436.94	Professional		$309.49	$2,100.35	$3,436.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $510.80 / $510.80 / $2,903.70	Professional		$510.80	$510.80	$2,903.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.88 / $1,540.28 / $3,666.75	Facility		$261.88	$1,540.28	$3,666.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $1,780.48 / $3,456.86	Professional		$280.00	$1,780.48	$3,456.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,397.02 / $2,082.65 / $3,411.80	Professional		$1,397.02	$2,082.65	$3,411.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,629.62 / $1,812.09 / $2,592.34	Professional		$1,629.62	$1,812.09	$2,592.34