Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.47 / $3,998.00 / $12,941.00	Facility		$1,115.47	$3,998.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.31 / $1,221.55 / $1,692.30	Professional		$1,032.31	$1,221.55	$1,692.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $962.28 / $1,014.66 / $1,217.58	Professional		$962.28	$1,014.66	$1,217.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,360.13 / $5,994.78 / $11,607.72	Facility		$3,360.13	$5,994.78	$11,607.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.02 / $1,150.26 / $1,613.41	Professional		$929.02	$1,150.26	$1,613.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $995.40 / $1,443.42 / $1,850.00	Professional		$995.40	$1,443.42	$1,850.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $851.98 / $3,469.96 / $3,469.96	Facility		$851.98	$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 $1,015.49 / $1,335.83 / $2,469.14	Professional		$1,015.49	$1,335.83	$2,469.14
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 $237.36 / $1,125.97 / $1,125.97	Facility	AS	$237.36	$1,125.97	$1,125.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,894.50 / $8,894.50 / $8,894.50	Professional		$8,894.50	$8,894.50	$8,894.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,010.54 / $1,452.69 / $2,631.71	Facility		$1,010.54	$1,452.69	$2,631.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.56 / $1,452.91 / $1,845.34	Professional		$1,090.56	$1,452.91	$1,845.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $887.27 / $1,064.72 / $1,263.17	Professional		$887.27	$1,064.72	$1,263.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.54 / $1,476.22 / $2,930.14	Facility		$1,010.54	$1,476.22	$2,930.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,015.49 / $1,364.49 / $2,346.28	Professional		$1,015.49	$1,364.49	$2,346.28
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 $849.98 / $1,186.79 / $1,780.57	Professional		$849.98	$1,186.79	$1,780.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $846.15 / $962.28 / $1,343.79	Professional		$846.15	$962.28	$1,343.79