Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $3,730.00 / $10,608.00	Facility		$1,071.00	$3,730.00	$10,608.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.64 / $1,294.28 / $1,805.47	Professional		$1,138.64	$1,294.28	$1,805.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,061.17 / $1,118.43 / $1,326.46	Professional		$1,061.17	$1,118.43	$1,326.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,380.77 / $5,994.78 / $11,722.27	Facility		$3,380.77	$5,994.78	$11,722.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.33 / $1,108.17 / $1,738.01	Professional		$897.33	$1,108.17	$1,738.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,036.78 / $5,020.67 / $10,425.45	Facility		$3,036.78	$5,020.67	$10,425.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $610.17 / $1,206.80 / $1,825.35	Professional		$610.17	$1,206.80	$1,825.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $936.04 / $3,366.24 / $3,366.24	Facility		$936.04	$3,366.24	$3,366.24
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 $1,118.43 / $1,454.80 / $2,463.71	Professional		$1,118.43	$1,454.80	$2,463.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,150.00 / $11,879.05	Facility		$55.00	$2,150.00	$11,879.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $261.70 / $1,125.97 / $1,125.97	Facility	AS	$261.70	$1,125.97	$1,125.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,185.05 / $11,185.05 / $11,185.05	Professional		$11,185.05	$11,185.05	$11,185.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.40 / $1,453.96 / $2,272.87	Facility		$1,093.40	$1,453.96	$2,272.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.93 / $1,671.77 / $2,768.53	Professional		$1,201.93	$1,671.77	$2,768.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $972.89 / $1,168.86 / $1,371.36	Professional		$972.89	$1,168.86	$1,371.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,089.84 / $1,497.17 / $2,561.21	Facility		$1,089.84	$1,497.17	$2,561.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,119.45 / $1,507.61 / $2,418.80	Professional		$1,119.45	$1,507.61	$2,418.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.19 / $1,291.39 / $1,920.65	Professional		$939.19	$1,291.39	$1,920.65
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