Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,200.00 / $9,820.00	Facility		$1,200.00	$3,200.00	$9,820.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,400.00 / $2,447.40	Professional		$1,120.00	$1,400.00	$2,447.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $4,880.00 / $10,660.00	Facility		$2,600.00	$4,880.00	$10,660.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,100.00 / $2,800.00	Professional		$5.00	$1,100.00	$2,800.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,800.00 / $2,800.00	Professional		$1,400.00	$1,800.00	$2,800.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,584.00 / $2,584.00	Facility		$2,000.00	$2,584.00	$2,584.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.78 / $3,614.00 / $8,516.65	Facility		$492.78	$3,614.00	$8,516.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.55 / $1,900.02 / $3,148.57	Professional		$1,013.55	$1,900.02	$3,148.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,631.74 / $9,500.00 / $9,500.00	Facility		$4,631.74	$9,500.00	$9,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $15,000.00	Professional		$10,000.00	$10,000.00	$15,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $2,000.00 / $3,200.00	Facility		$1,220.00	$2,000.00	$3,200.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $2,000.00 / $2,500.00	Professional		$1,900.00	$2,000.00	$2,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $2,400.00 / $4,500.00	Professional		$1,300.00	$2,400.00	$4,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,024.17 / $6,530.72	Facility		$1,120.00	$2,024.17	$6,530.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.04 / $2,300.00 / $3,148.57	Professional		$1,020.04	$2,300.00	$3,148.57
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $840.00 / $1,375.00	Professional		$840.00	$840.00	$1,375.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,036.00 / $2,000.00	Professional		$800.00	$1,036.00	$2,000.00