Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.05 / $4,289.89 / $12,022.40	Facility		$1,616.05	$4,289.89	$12,022.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.19 / $1,811.93 / $2,938.27	Professional		$1,371.19	$1,811.93	$2,938.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $1,469.14 / $1,469.14	Professional		$1,469.14	$1,469.14	$1,469.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $5,959.80 / $12,561.11	Facility		$2,938.27	$5,959.80	$12,561.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,346.71 / $3,427.98	Professional		$5.00	$1,346.71	$3,427.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,713.99 / $2,203.69 / $3,427.98	Professional		$1,713.99	$2,203.69	$3,427.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,399.59 / $2,399.59 / $2,448.56	Facility		$2,399.59	$2,399.59	$2,448.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.08 / $5,379.47 / $10,910.11	Facility		$1,631.08	$5,379.47	$10,910.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.18 / $1,369.77 / $3,821.64	Professional		$1,115.18	$1,369.77	$3,821.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,917.70 / $11,630.66 / $11,630.66	Facility		$3,917.70	$11,630.66	$11,630.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,242.80 / $12,242.80 / $18,364.20	Professional		$12,242.80	$12,242.80	$18,364.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,493.62 / $2,448.56 / $3,672.84	Facility		$1,493.62	$2,448.56	$3,672.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $3,060.70	Professional		$2,448.56	$2,448.56	$3,060.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.56 / $2,938.27 / $5,509.26	Professional		$1,591.56	$2,938.27	$5,509.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,663.18 / $2,626.08 / $8,817.87	Facility		$1,663.18	$2,626.08	$8,817.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,126.48 / $2,203.69 / $3,716.82	Professional		$1,126.48	$2,203.69	$3,716.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.40 / $2,448.56 / $2,938.27	Facility		$1,028.40	$2,448.56	$2,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $1,683.39	Professional		$1,028.40	$1,028.40	$1,683.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $979.42 / $2,448.56	Professional		$979.42	$979.42	$2,448.56