Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.60 / $1,840.64 / $5,651.06	Facility		$765.60	$1,840.64	$5,651.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.19 / $730.80 / $1,392.00	Professional		$330.19	$730.80	$1,392.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $696.00	Professional		$696.00	$696.00	$696.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.60 / $2,865.20 / $6,078.40	Facility		$1,519.60	$2,865.20	$6,078.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $638.00 / $1,624.00	Professional		$5.00	$638.00	$1,624.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,044.00 / $1,624.00	Professional		$812.00	$1,044.00	$1,624.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,160.00 / $1,160.00	Facility		$80.00	$1,160.00	$1,160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.69 / $2,096.12 / $4,939.43	Facility		$508.69	$2,096.12	$4,939.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $1,101.96 / $1,826.27	Professional		$544.00	$1,101.96	$1,826.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,842.00 / $5,510.00 / $5,510.00	Facility		$2,842.00	$5,510.00	$5,510.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,800.00 / $5,800.00 / $8,700.00	Professional		$5,800.00	$5,800.00	$8,700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.60 / $1,160.00 / $1,975.53	Facility		$707.60	$1,160.00	$1,975.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,160.00 / $1,450.00	Professional		$1,102.00	$1,160.00	$1,450.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,230.01 / $2,886.93 / $4,634.47	Facility		$2,230.01	$2,886.93	$4,634.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $1,392.00 / $2,610.00	Professional		$754.00	$1,392.00	$2,610.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $649.60 / $1,260.69 / $3,787.81	Facility		$649.60	$1,260.69	$3,787.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $587.91 / $1,334.00 / $1,826.27	Professional		$587.91	$1,334.00	$1,826.27
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $824.21	Professional		$487.20	$487.20	$824.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $452.40 / $1,160.00 / $1,566.00	Professional		$452.40	$1,160.00	$1,566.00