Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.30 / $3,849.00 / $13,004.00	Facility		$1,174.30	$3,849.00	$13,004.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $880.73 / $951.98 / $1,321.07	Facility	54	$880.73	$951.98	$1,321.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.77 / $1,269.30 / $1,827.11	Professional		$941.77	$1,269.30	$1,827.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,100.89 / $1,160.21 / $2,111.86	Professional		$1,100.89	$1,160.21	$2,111.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,380.77 / $5,994.78 / $11,722.27	Facility		$3,380.77	$5,994.78	$11,722.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.64 / $1,310.75 / $1,838.51	Professional		$1,058.64	$1,310.75	$1,838.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,155.29 / $1,479.91 / $2,036.65	Professional		$1,155.29	$1,479.91	$2,036.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $972.20 / $1,800.12 / $1,800.12	Facility		$972.20	$1,800.12	$1,800.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,578.19 / $2,578.19 / $2,662.46	Facility		$2,578.19	$2,578.19	$2,662.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.65 / $1,440.63 / $2,201.77	Professional		$1,131.65	$1,440.63	$2,201.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,750.00 / $11,879.05	Facility		$55.00	$4,750.00	$11,879.05
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,901.24 / $7,881.75 / $7,881.75	Facility	54	$1,901.24	$7,881.75	$7,881.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,555.36 / $8,792.16 / $9,656.48	Professional		$8,555.36	$8,792.16	$9,656.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,101.45 / $1,408.99 / $2,191.71	Facility		$1,101.45	$1,408.99	$2,191.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.89 / $1,700.61 / $3,142.22	Professional		$1,100.89	$1,700.61	$3,142.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.49 / $1,206.69 / $1,643.87	Professional		$1,044.49	$1,206.69	$1,643.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,101.45 / $1,419.09 / $2,207.94	Facility		$1,101.45	$1,419.09	$2,207.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,102.20 / $1,502.90 / $2,242.29	Professional		$1,102.20	$1,502.90	$2,242.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,931.00 / $13,134.00	Facility		$2,093.00	$5,931.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.54 / $1,206.83 / $1,802.93	Professional		$909.54	$1,206.83	$1,802.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $967.61 / $1,100.89 / $1,536.83	Professional		$967.61	$1,100.89	$1,536.83