Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,729.00	Facility		$1,002.00	$3,682.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.37 / $1,235.26 / $1,825.74	Professional		$1,013.37	$1,235.26	$1,825.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,066.01 / $1,066.01 / $1,124.14	Professional		$1,066.01	$1,066.01	$1,124.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,783.08 / $4,909.47 / $9,443.71	Facility		$2,783.08	$4,909.47	$9,443.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.38 / $1,273.27 / $1,743.90	Professional		$1,028.38	$1,273.27	$1,743.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $946.44 / $2,936.02 / $6,373.60	Facility		$946.44	$2,936.02	$6,373.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,104.06 / $1,269.67 / $1,705.62	Professional		$1,104.06	$1,269.67	$1,705.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $952.47 / $952.47 / $994.77	Facility		$952.47	$952.47	$994.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.73 / $1,401.73 / $1,401.73	Professional		$1,401.73	$1,401.73	$1,401.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,087.89 / $26,542.00 / $26,542.00	Facility		$9,087.89	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,284.24 / $8,521.60 / $9,380.54	Professional		$8,284.24	$8,521.60	$9,380.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.89 / $1,369.11 / $2,005.56	Facility		$1,081.89	$1,369.11	$2,005.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.41 / $1,429.30 / $1,979.03	Professional		$1,209.41	$1,429.30	$1,979.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.19 / $1,094.52 / $1,281.80	Professional		$1,025.19	$1,094.52	$1,281.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,081.89 / $1,376.62 / $2,172.25	Facility		$1,081.89	$1,376.62	$2,172.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.01 / $1,501.24 / $2,178.19	Professional		$1,066.01	$1,501.24	$2,178.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.59 / $1,173.63 / $1,869.59	Professional		$885.59	$1,173.63	$1,869.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $938.36 / $1,066.01 / $1,490.48	Professional		$938.36	$1,066.01	$1,490.48