Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.92 / $1,190.72 / $1,190.72	Facility		$1,159.92	$1,190.72	$1,190.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $978.23 / $1,302.45	Professional		$29.07	$978.23	$1,302.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,034.31 / $1,108.07 / $1,108.07	Professional		$1,034.31	$1,108.07	$1,108.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $63.46 / $129.94	Facility		$25.48	$63.46	$129.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $652.34 / $1,003.68	Professional		$25.46	$652.34	$1,003.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,163.47 / $1,231.19 / $2,000.00	Professional		$1,163.47	$1,231.19	$2,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $1,355.55	Facility		$30.72	$30.72	$1,355.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.57 / $1,077.57 / $1,077.57	Professional		$1,077.57	$1,077.57	$1,077.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.48 / $177.48 / $177.48	Facility		$177.48	$177.48	$177.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $1,551.40 / $10,233.90	Professional		$222.74	$1,551.40	$10,233.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $1,106.23 / $1,763.21	Facility		$34.13	$1,106.23	$1,763.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $1,288.40 / $2,108.29	Professional		$42.05	$1,288.40	$2,108.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $940.76 / $1,907.91	Professional		$32.09	$940.76	$1,907.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $1,108.07 / $1,817.91	Facility		$34.02	$1,108.07	$1,817.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $1,077.57 / $2,395.94	Professional		$87.36	$1,077.57	$2,395.94
United Facility/Professional Professional Modifier Low / Median / High Price $881.07 / $1,163.99 / $1,779.90	Professional		$881.07	$1,163.99	$1,779.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $999.64 / $1,169.00 / $1,592.00	Professional		$999.64	$1,169.00	$1,592.00