Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.57 / $2,733.55 / $6,455.40	Facility		$984.57	$2,733.55	$6,455.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.87 / $1,002.24 / $1,443.64	Professional		$803.87	$1,002.24	$1,443.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $832.85 / $951.25	Professional		$832.85	$832.85	$951.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.75 / $2,187.30 / $4,098.87	Facility		$937.75	$2,187.30	$4,098.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $696.20 / $1,291.34	Professional		$109.40	$696.20	$1,291.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $904.58 / $2,705.53 / $4,027.52	Facility		$904.58	$2,705.53	$4,027.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $434.00 / $1,388.09	Professional		$230.00	$434.00	$1,388.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $894.36 / $932.91 / $967.47	Facility		$894.36	$932.91	$967.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.80 / $932.45 / $2,055.98	Facility		$827.80	$932.45	$2,055.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.76 / $1,256.99 / $1,950.55	Professional		$922.76	$1,256.99	$1,950.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,877.67 / $5,259.82 / $5,259.82	Facility		$1,877.67	$5,259.82	$5,259.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,040.95 / $6,040.95 / $8,223.60	Professional		$6,040.95	$6,040.95	$8,223.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $818.95 / $1,019.37 / $1,554.82	Facility		$818.95	$1,019.37	$1,554.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.33 / $1,442.64 / $1,976.54	Professional		$1,084.33	$1,442.64	$1,976.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $1,112.02 / $2,082.17	Professional		$151.05	$1,112.02	$2,082.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $818.80 / $1,016.39 / $1,567.20	Facility		$818.80	$1,016.39	$1,567.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $951.25 / $1,342.56 / $2,460.48	Professional		$951.25	$1,342.56	$2,460.48
United Facility/Professional Professional Modifier Low / Median / High Price $779.82 / $1,057.91 / $1,713.14	Professional		$779.82	$1,057.91	$1,713.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.74 / $941.02 / $1,280.30	Professional		$804.74	$941.02	$1,280.30