Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.23 / $1,006.15 / $1,090.00	Facility		$964.23	$1,006.15	$1,090.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.90 / $810.83 / $2,192.63	Professional		$710.90	$810.83	$2,192.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.02 / $1,010.45 / $3,372.80	Professional		$812.02	$1,010.45	$3,372.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.23 / $2,829.80 / $4,691.39	Facility		$953.23	$2,829.80	$4,691.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.08 / $822.94 / $942.57	Professional		$657.08	$822.94	$942.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,137.31 / $1,544.79	Professional		$895.54	$1,137.31	$1,544.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $772.40 / $772.40 / $830.10	Facility		$772.40	$772.40	$830.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.16 / $1,020.16 / $1,020.16	Facility		$1,020.16	$1,020.16	$1,020.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.17 / $1,096.38 / $1,857.63	Professional		$798.17	$1,096.38	$1,857.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,947.44 / $3,991.95 / $4,308.96	Facility		$1,947.44	$3,991.95	$4,308.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,114.99 / $8,114.99 / $8,114.99	Professional		$8,114.99	$8,114.99	$8,114.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.32 / $970.91 / $1,708.99	Facility		$718.32	$970.91	$1,708.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $980.93 / $1,218.06 / $1,586.54	Professional		$980.93	$1,218.06	$1,586.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.13 / $1,031.24 / $1,635.74	Professional		$812.13	$1,031.24	$1,635.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.32 / $971.58 / $1,956.48	Facility		$718.32	$971.58	$1,956.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $849.24 / $1,179.18 / $2,158.42	Professional		$849.24	$1,179.18	$2,158.42
United Facility/Professional Professional Modifier Low / Median / High Price $719.69 / $980.09 / $1,447.95	Professional		$719.69	$980.09	$1,447.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $727.99 / $855.12 / $1,173.83	Professional		$727.99	$855.12	$1,173.83