Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.40 / $3,504.00 / $10,481.00	Facility		$966.40	$3,504.00	$10,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.51 / $966.40 / $1,454.31	Professional		$756.51	$966.40	$1,454.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.20 / $861.78 / $965.35	Professional		$832.20	$861.78	$965.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,207.40 / $5,918.41 / $11,373.86	Facility		$3,207.40	$5,918.41	$11,373.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.03 / $959.42 / $1,396.27	Professional		$716.03	$959.42	$1,396.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $3,951.18 / $9,620.29	Facility		$504.00	$3,951.18	$9,620.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $858.62 / $1,237.93 / $1,547.89	Professional		$858.62	$1,237.93	$1,547.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $742.56 / $3,469.96 / $3,469.96	Facility		$742.56	$3,469.96	$3,469.96
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 $861.43 / $1,137.09 / $1,859.44	Professional		$861.43	$1,137.09	$1,859.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $205.59 / $1,125.97 / $1,125.97	Facility	AS	$205.59	$1,125.97	$1,125.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,588.48 / $7,588.48 / $7,588.48	Professional		$7,588.48	$7,588.48	$7,588.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $860.84 / $1,086.64 / $1,956.68	Facility		$860.84	$1,086.64	$1,956.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $832.20 / $1,115.59 / $1,645.63	Professional		$832.20	$1,115.59	$1,645.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $775.65 / $930.78 / $1,077.22	Professional		$775.65	$930.78	$1,077.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.84 / $1,096.74 / $2,539.19	Facility		$860.84	$1,096.74	$2,539.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $861.43 / $1,154.77 / $1,859.44	Professional		$861.43	$1,154.77	$1,859.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,958.00 / $13,134.00	Facility		$2,093.00	$5,958.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.62 / $947.68 / $1,371.66	Professional		$693.62	$947.68	$1,371.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $732.41 / $832.20 / $1,163.40	Professional		$732.41	$832.20	$1,163.40