Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $4,197.00 / $13,004.00	Facility		$1,267.00	$4,197.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.01 / $1,378.01 / $2,067.02	Professional		$1,185.01	$1,378.01	$2,067.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,105.35 / $1,171.68 / $1,560.50	Professional		$1,105.35	$1,171.68	$1,560.50
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 $933.47 / $1,141.30 / $1,807.66	Professional		$933.47	$1,141.30	$1,807.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $4,075.56 / $8,871.12	Facility		$1,216.00	$4,075.56	$8,871.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,142.46 / $1,547.50 / $2,276.61	Professional		$1,142.46	$1,547.50	$2,276.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $972.65 / $3,594.03 / $3,594.03	Facility		$972.65	$3,594.03	$3,594.03
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 $1,171.64 / $1,569.80 / $2,829.64	Professional		$1,171.64	$1,569.80	$2,829.64
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 $272.45 / $1,125.97 / $1,125.97	Facility	AS	$272.45	$1,125.97	$1,125.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,464.70 / $10,464.70 / $10,464.70	Professional		$10,464.70	$10,464.70	$10,464.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.19 / $1,722.25 / $3,317.00	Facility		$1,165.19	$1,722.25	$3,317.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.75 / $1,706.93 / $2,564.35	Professional		$1,251.75	$1,706.93	$2,564.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,828.27 / $2,499.00 / $5,827.36	Facility		$1,828.27	$2,499.00	$5,827.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.24 / $1,299.89 / $2,274.01	Professional		$1,067.24	$1,299.89	$2,274.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,160.63 / $1,734.71 / $3,317.00	Facility		$1,160.63	$1,734.71	$3,317.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,200.14 / $1,594.70 / $2,770.48	Professional		$1,200.14	$1,594.70	$2,770.48
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 $977.88 / $1,355.10 / $2,070.00	Professional		$977.88	$1,355.10	$2,070.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $971.21 / $1,105.35 / $1,542.32	Professional		$971.21	$1,105.35	$1,542.32