Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.69 / $3,682.00 / $12,826.00	Facility		$1,019.69	$3,682.00	$12,826.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,918.36 / $1,918.36 / $1,918.36	Facility	50	$1,918.36	$1,918.36	$1,918.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.33 / $1,045.32 / $1,600.00	Professional		$725.33	$1,045.32	$1,600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $906.01 / $906.01 / $1,747.82	Professional		$906.01	$906.01	$1,747.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,076.97 / $6,289.40	Facility		$1,664.27	$3,076.97	$6,289.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.65 / $1,118.84 / $1,569.34	Professional		$903.65	$1,118.84	$1,569.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $952.72 / $2,544.69 / $5,461.00	Facility		$952.72	$2,544.69	$5,461.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $963.98 / $1,109.13 / $1,590.57	Professional		$963.98	$1,109.13	$1,590.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $849.55 / $849.55 / $888.17	Facility		$849.55	$849.55	$888.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.70 / $1,153.57 / $1,637.09	Professional		$875.70	$1,153.57	$1,637.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,655.74 / $26,542.00 / $26,542.00	Facility		$6,655.74	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,043.92 / $7,361.84 / $8,064.83	Professional		$7,043.92	$7,361.84	$8,064.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $889.69 / $1,120.54 / $1,766.62	Facility		$889.69	$1,120.54	$1,766.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.64 / $1,221.57 / $1,691.41	Professional		$1,033.64	$1,221.57	$1,691.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $906.01 / $1,000.52 / $1,087.21	Professional		$906.01	$1,000.52	$1,087.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.69 / $1,132.09 / $1,836.20	Facility		$889.69	$1,132.09	$1,836.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $879.34 / $1,187.24 / $1,765.91	Professional		$879.34	$1,187.24	$1,765.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.66 / $942.30 / $1,347.49	Professional		$685.66	$942.30	$1,347.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $801.98 / $906.01 / $1,274.45	Professional		$801.98	$906.01	$1,274.45