Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $2,550.00 / $7,495.00	Facility		$696.00	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.88 / $755.70 / $1,184.32	Professional		$519.88	$755.70	$1,184.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $517.41 / $687.97 / $872.26	Professional		$517.41	$687.97	$872.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,644.92 / $3,017.00 / $5,844.30	Facility		$1,644.92	$3,017.00	$5,844.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.18 / $695.31 / $1,067.33	Professional		$506.18	$695.31	$1,067.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $687.97 / $825.56 / $1,212.40	Professional		$687.97	$825.56	$1,212.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $466.85 / $1,800.91 / $1,800.91	Facility		$466.85	$1,800.91	$1,800.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.40 / $778.84 / $1,144.96	Professional		$549.40	$778.84	$1,144.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,785.76 / $16,394.00 / $16,394.00	Facility		$3,785.76	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,021.44 / $5,352.80 / $6,144.00	Professional		$4,021.44	$5,352.80	$6,144.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $534.71 / $767.20 / $1,184.33	Facility		$534.71	$767.20	$1,184.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $587.79 / $854.98 / $1,215.26	Professional		$587.79	$854.98	$1,215.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $502.14 / $687.97 / $825.75	Professional		$502.14	$687.97	$825.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.71 / $770.41 / $1,246.77	Facility		$534.71	$770.41	$1,246.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $567.79 / $800.78 / $1,172.26	Professional		$567.79	$800.78	$1,172.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.70 / $770.87 / $1,136.43	Professional		$578.70	$770.87	$1,136.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $610.11 / $687.97 / $969.88	Professional		$610.11	$687.97	$969.88