Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.68 / $3,865.75 / $4,590.00	Facility		$1,192.68	$3,865.75	$4,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.93 / $993.90 / $2,616.01	Professional		$824.93	$993.90	$2,616.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,830.00 / $3,830.00 / $3,830.00	Professional		$3,830.00	$3,830.00	$3,830.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,383.90 / $3,366.25 / $5,934.58	Facility		$1,383.90	$3,366.25	$5,934.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $796.34 / $936.87	Professional		$270.89	$796.34	$936.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $990.47 / $1,063.26 / $1,913.87	Professional		$990.47	$1,063.26	$1,913.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.02 / $3,693.01 / $6,544.03	Facility		$1,294.02	$3,693.01	$6,544.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.00 / $1,295.00 / $1,295.00	Professional		$1,295.00	$1,295.00	$1,295.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,915.35 / $5,931.94 / $5,931.94	Facility		$4,915.35	$5,931.94	$5,931.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,573.95 / $7,344.00 / $9,225.68	Professional		$5,573.95	$7,344.00	$9,225.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.26 / $1,102.80 / $1,998.74	Facility		$718.26	$1,102.80	$1,998.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $992.41 / $992.41 / $5,745.00	Professional		$992.41	$992.41	$5,745.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.09 / $1,286.76 / $1,447.76	Professional		$1,049.09	$1,286.76	$1,447.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.48 / $1,538.14 / $5,461.72	Facility		$843.48	$1,538.14	$5,461.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $992.41 / $1,013.00 / $1,465.12	Professional		$992.41	$1,013.00	$1,465.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,939.96 / $2,016.92 / $2,660.62	Facility		$1,939.96	$2,016.92	$2,660.62
United Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $1,070.96 / $1,623.34	Professional		$116.36	$1,070.96	$1,623.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $935.93 / $947.30 / $1,408.85	Professional		$935.93	$947.30	$1,408.85