Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $2,594.00 / $7,542.00	Facility		$696.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.40 / $740.73 / $1,279.13	Professional		$633.40	$740.73	$1,279.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,166.08 / $1,166.08 / $1,166.08	Professional		$1,166.08	$1,166.08	$1,166.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,966.49 / $8,318.61 / $16,416.84	Facility		$3,966.49	$8,318.61	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.07 / $834.59 / $1,170.64	Professional		$674.07	$834.59	$1,170.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4,085.02 / $4,085.02 / $5,899.80	Facility		$4,085.02	$4,085.02	$5,899.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $645.38 / $655.29	Facility		$80.00	$645.38	$655.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.01 / $847.01 / $847.01	Facility		$847.01	$847.01	$847.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.63 / $996.77 / $1,504.32	Professional		$748.63	$996.77	$1,504.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,794.32 / $16,394.00 / $17,524.30	Facility		$2,794.32	$16,394.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,442.80 / $5,536.08 / $6,394.80	Professional		$5,442.80	$5,536.08	$6,394.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.64 / $886.98 / $1,400.54	Facility		$698.64	$886.98	$1,400.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $920.66 / $1,104.80 / $1,369.95	Professional		$920.66	$1,104.80	$1,369.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $781.75 / $1,231.68 / $2,687.20	Professional		$781.75	$1,231.68	$2,687.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.23 / $896.64 / $1,484.38	Facility		$701.23	$896.64	$1,484.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.02 / $1,036.17 / $1,543.17	Professional		$762.02	$1,036.17	$1,543.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.70 / $771.78 / $1,244.58	Professional		$578.70	$771.78	$1,244.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $628.61 / $714.60 / $992.72	Professional		$628.61	$714.60	$992.72