Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.42 / $3,405.23 / $8,890.09	Facility		$1,277.42	$3,405.23	$8,890.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,350.41 / $2,608.91	Professional		$1,075.00	$1,350.41	$2,608.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $456.22 / $456.22 / $456.22	Professional		$456.22	$456.22	$456.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,252.92 / $5,675.38 / $10,138.18	Facility		$2,252.92	$5,675.38	$10,138.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,003.68 / $2,554.83	Professional		$5.00	$1,003.68	$2,554.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,277.42 / $1,642.39 / $2,554.83	Professional		$1,277.42	$1,642.39	$2,554.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Facility		$1,824.88	$1,824.88	$1,824.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,732.49 / $4,243.85 / $9,221.91	Facility		$1,732.49	$4,243.85	$9,221.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.03 / $1,264.81 / $3,746.93	Professional		$1,034.03	$1,264.81	$3,746.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,919.81 / $8,668.18 / $8,668.18	Facility		$2,919.81	$8,668.18	$8,668.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,124.40 / $9,124.40 / $13,686.60	Professional		$9,124.40	$9,124.40	$13,686.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.93 / $1,824.88 / $2,919.81	Facility		$1,094.93	$1,824.88	$2,919.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.64 / $1,824.88 / $2,281.10	Professional		$1,733.64	$1,824.88	$2,281.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.17 / $2,189.86 / $4,105.97	Professional		$1,186.17	$2,189.86	$4,105.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,277.42 / $2,189.86 / $7,886.34	Facility		$1,277.42	$2,189.86	$7,886.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,034.03 / $1,733.58 / $3,521.77	Professional		$1,034.03	$1,733.58	$3,521.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,376.76 / $1,824.88 / $2,281.10	Facility		$1,376.76	$1,824.88	$2,281.10
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,044.06 / $1,824.88	Professional		$766.45	$1,044.06	$1,824.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $711.70 / $1,824.88 / $2,463.59	Professional		$711.70	$1,824.88	$2,463.59