Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,162.00 / $10,836.00	Facility		$788.00	$3,162.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.29 / $789.22 / $1,188.96	Professional		$584.29	$789.22	$1,188.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $763.76 / $763.76 / $763.76	Professional		$763.76	$763.76	$763.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,057.62 / $6,192.64	Facility		$1,664.27	$3,057.62	$6,192.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.36 / $755.08 / $1,157.88	Professional		$594.36	$755.08	$1,157.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $2,363.53 / $6,372.00	Facility		$750.00	$2,363.53	$6,372.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $660.23 / $822.58 / $1,152.93	Professional		$660.23	$822.58	$1,152.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $542.97 / $1,737.41 / $1,737.41	Facility		$542.97	$1,737.41	$1,737.41
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 $642.83 / $871.04 / $1,235.58	Professional		$642.83	$871.04	$1,235.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,449.12 / $26,542.00 / $26,542.00	Facility		$4,449.12	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,606.00 / $5,606.00 / $6,390.00	Professional		$5,606.00	$5,606.00	$6,390.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.49 / $844.98 / $1,300.72	Facility		$612.49	$844.98	$1,300.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $690.99 / $961.10 / $1,268.05	Professional		$690.99	$961.10	$1,268.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $606.03 / $763.76 / $933.19	Professional		$606.03	$763.76	$933.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.49 / $853.05 / $1,376.29	Facility		$612.49	$853.05	$1,376.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $648.25 / $888.40 / $1,337.16	Professional		$648.25	$888.40	$1,337.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,249.14 / $4,063.00 / $8,226.00	Facility		$1,249.14	$4,063.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.40 / $792.53 / $1,166.51	Professional		$594.40	$792.53	$1,166.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $636.61 / $720.58 / $1,011.45	Professional		$636.61	$720.58	$1,011.45