Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.71 / $2,220.54 / $4,761.95	Facility		$1,045.71	$2,220.54	$4,761.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.50 / $1,142.27 / $1,420.88	Professional		$929.50	$1,142.27	$1,420.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,018.73 / $1,102.65 / $1,212.92	Professional		$1,018.73	$1,102.65	$1,212.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,072.56 / $2,499.61 / $4,617.47	Facility		$1,072.56	$2,499.61	$4,617.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.80 / $1,563.71 / $1,839.66	Professional		$1,103.80	$1,563.71	$1,839.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,070.58 / $1,070.58 / $1,730.56	Facility		$1,070.58	$1,070.58	$1,730.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,042.93 / $1,042.93 / $1,042.93	Facility		$1,042.93	$1,042.93	$1,042.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.80 / $894.18 / $1,174.13	Facility		$827.80	$894.18	$1,174.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.46 / $1,404.52 / $2,251.17	Professional		$1,025.46	$1,404.52	$2,251.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,455.17 / $6,135.96 / $6,135.96	Facility		$2,455.17	$6,135.96	$6,135.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,248.35 / $7,248.35 / $9,898.58	Professional		$7,248.35	$7,248.35	$9,898.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.27 / $1,213.23 / $1,684.25	Facility		$1,000.27	$1,213.23	$1,684.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.65 / $1,102.65 / $1,295.58	Professional		$1,102.65	$1,102.65	$1,295.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.39 / $1,438.11 / $2,021.48	Professional		$1,222.39	$1,438.11	$2,021.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.03 / $1,205.56 / $1,793.59	Facility		$991.03	$1,205.56	$1,793.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,081.64 / $1,449.06 / $2,241.82	Professional		$1,081.64	$1,449.06	$2,241.82
United Facility/Professional Professional Modifier Low / Median / High Price $937.68 / $1,246.49 / $1,992.57	Professional		$937.68	$1,246.49	$1,992.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,295.58 / $1,353.16 / $1,749.03	Professional		$1,295.58	$1,353.16	$1,749.03