Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,601.00 / $12,729.00	Facility		$993.00	$3,601.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,230.86 / $1,805.47	Professional		$1,072.81	$1,230.86	$1,805.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,061.17 / $1,061.17 / $1,286.19	Professional		$1,061.17	$1,061.17	$1,286.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.76 / $5,994.78 / $11,378.62	Facility		$3,283.76	$5,994.78	$11,378.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.01 / $1,269.10 / $1,780.11	Professional		$1,025.01	$1,269.10	$1,780.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,474.01 / $3,874.51 / $8,000.00	Facility		$2,474.01	$3,874.51	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $640.10 / $1,280.19 / $1,836.80	Professional		$640.10	$1,280.19	$1,836.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $936.04 / $3,324.53 / $3,324.53	Facility		$936.04	$3,324.53	$3,324.53
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 $1,098.96 / $1,445.88 / $2,300.96	Professional		$1,098.96	$1,445.88	$2,300.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,879.05	Facility		$55.00	$55.00	$11,879.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,602.35 / $9,602.35 / $9,602.35	Professional		$9,602.35	$9,602.35	$9,602.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.40 / $1,379.52 / $2,160.78	Facility		$1,093.40	$1,379.52	$2,160.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.93 / $1,638.99 / $1,966.79	Professional		$1,201.93	$1,638.99	$1,966.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $973.24 / $1,167.89 / $1,371.36	Professional		$973.24	$1,167.89	$1,371.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,089.84 / $1,421.42 / $2,431.27	Facility		$1,089.84	$1,421.42	$2,431.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,118.43 / $1,475.85 / $2,186.54	Professional		$1,118.43	$1,475.85	$2,186.54
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 $939.49 / $1,233.08 / $1,829.42	Professional		$939.49	$1,233.08	$1,829.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,061.17 / $1,481.07	Professional		$932.55	$1,061.17	$1,481.07