Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,801.89 / $12,882.50	Facility		$1,096.48	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,398.83	Professional		$1,071.52	$1,380.38	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,513.56	Professional		$933.25	$1,071.52	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,165.95 / $11,481.54	Facility		$3,311.31	$6,165.95	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,778.28	Professional		$1,023.29	$1,288.25	$1,778.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,905.46	Professional		$1,122.02	$1,479.11	$1,905.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,311.31 / $3,311.31	Facility		$933.25	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,398.83	Professional		$1,122.02	$1,445.44	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $7,585.78	Facility		$1,000.00	$1,905.46	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,290.87	Professional		$1,096.48	$1,348.96	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,884.03	Professional		$32.36	$33.11	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,454.71	Facility		$1,000.00	$1,318.26	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,344.23	Professional		$1,122.02	$1,479.11	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,819.70	Professional		$933.25	$1,230.27	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $977.24 / $977.24	Professional		$933.25	$977.24	$977.24