Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.39 / $1,105.74 / $4,953.89	Facility		$620.39	$1,105.74	$4,953.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.19 / $848.10 / $1,112.89	Professional		$718.19	$848.10	$1,112.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $713.39 / $886.37 / $1,800.00	Professional		$713.39	$886.37	$1,800.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.09 / $1,335.43 / $2,466.90	Facility		$568.09	$1,335.43	$2,466.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $1,217.44 / $1,432.28	Professional		$254.33	$1,217.44	$1,432.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $831.37 / $899.33 / $1,275.77	Professional		$831.37	$899.33	$1,275.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $1,170.00	Facility		$1,170.00	$1,170.00	$1,170.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.25 / $462.63 / $612.35	Facility		$442.25	$462.63	$612.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.87 / $1,044.78 / $1,597.93	Professional		$757.87	$1,044.78	$1,597.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,849.52 / $4,622.51 / $4,622.51	Facility		$1,849.52	$4,622.51	$4,622.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,462.08 / $5,462.08 / $7,456.58	Professional		$5,462.08	$5,462.08	$7,456.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.23 / $929.64 / $1,347.40	Facility		$747.23	$929.64	$1,347.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $830.64 / $1,300.00 / $4,481.71	Professional		$830.64	$1,300.00	$4,481.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.38 / $1,551.58 / $2,181.01	Professional		$1,301.38	$1,551.58	$2,181.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $742.29 / $906.50 / $1,379.27	Facility		$742.29	$906.50	$1,379.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.39 / $1,085.96 / $1,602.83	Professional		$785.39	$1,085.96	$1,602.83
United Facility/Professional Professional Modifier Low / Median / High Price $711.44 / $948.60 / $1,524.71	Professional		$711.44	$948.60	$1,524.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,018.11 / $1,036.46 / $1,399.22	Professional		$1,018.11	$1,036.46	$1,399.22