Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $4,536.00 / $5,162.25	Facility		$224.00	$4,536.00	$5,162.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,321.98 / $2,554.17 / $2,554.17	Professional		$2,321.98	$2,554.17	$2,554.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,178.33 / $1,178.33 / $3,830.00	Professional		$1,178.33	$1,178.33	$3,830.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,433.77 / $3,615.60 / $6,246.27	Facility		$1,433.77	$3,615.60	$6,246.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.88 / $899.15 / $1,057.82	Professional		$305.88	$899.15	$1,057.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,095.72 / $1,176.24 / $2,117.23	Professional		$1,095.72	$1,176.24	$2,117.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.61 / $3,693.01 / $6,544.03	Facility		$1,324.61	$3,693.01	$6,544.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.27 / $957.64 / $1,481.27	Professional		$860.27	$957.64	$1,481.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,308.82 / $9,522.00 / $9,522.00	Facility		$2,308.82	$9,522.00	$9,522.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,427.00 / $11,427.00 / $11,427.00	Professional		$11,427.00	$11,427.00	$11,427.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.66 / $1,217.84 / $2,211.34	Facility		$794.66	$1,217.84	$2,211.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.24 / $1,097.24 / $5,745.00	Professional		$1,097.24	$1,097.24	$5,745.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,744.32 / $2,139.46 / $2,407.16	Professional		$1,744.32	$2,139.46	$2,407.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.21 / $1,700.46 / $5,461.72	Facility		$933.21	$1,700.46	$5,461.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $860.27 / $958.95 / $1,481.27	Professional		$860.27	$958.95	$1,481.27
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 $922.91 / $1,395.97 / $1,908.10	Professional		$922.91	$1,395.97	$1,908.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,039.20 / $1,056.76 / $1,590.75	Professional		$1,039.20	$1,056.76	$1,590.75