Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.11 / $1,505.16 / $42,426.00	Facility		$472.11	$1,505.16	$42,426.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.82 / $626.73 / $1,554.97	Professional		$428.82	$626.73	$1,554.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $492.51 / $663.11 / $874.34	Professional		$492.51	$663.11	$874.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.76 / $1,787.69 / $3,116.99	Facility		$713.76	$1,787.69	$3,116.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.47 / $905.63 / $1,186.83	Professional		$531.47	$905.63	$1,186.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $615.63 / $738.76 / $982.26	Professional		$615.63	$738.76	$982.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $595.39 / $595.39 / $642.30	Facility		$595.39	$595.39	$642.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41,910.00 / $45,037.00 / $48,764.00	Facility		$41,910.00	$45,037.00	$48,764.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.76 / $744.81 / $1,234.79	Professional		$543.76	$744.81	$1,234.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,757.28 / $5,947.12 / $6,023.52	Facility		$4,757.28	$5,947.12	$6,023.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.67 / $11,983.88 / $12,463.23	Professional		$3,981.67	$11,983.88	$12,463.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $557.47 / $752.82 / $1,245.94	Facility		$557.47	$752.82	$1,245.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $615.63 / $1,038.60 / $2,086.42	Professional		$615.63	$1,038.60	$2,086.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $639.52 / $821.00 / $1,295.32	Professional		$639.52	$821.00	$1,295.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.48 / $792.94 / $1,842.54	Facility		$610.48	$792.94	$1,842.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.76 / $744.81 / $1,286.50	Professional		$543.76	$744.81	$1,286.50
United Facility/Professional Professional Modifier Low / Median / High Price $563.22 / $799.61 / $1,126.44	Professional		$563.22	$799.61	$1,126.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.23 / $615.63 / $852.58	Professional		$537.23	$615.63	$852.58