Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.29 / $654.70 / $835.57	Facility		$409.29	$654.70	$835.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.74 / $835.57 / $1,355.83	Professional		$756.74	$835.57	$1,355.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,350.35 / $1,350.35 / $1,440.38	Professional		$1,350.35	$1,350.35	$1,440.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.86 / $856.86 / $1,072.05	Professional		$856.86	$856.86	$1,072.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,112.78 / $1,350.35 / $1,718.37	Professional		$1,112.78	$1,350.35	$1,718.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,800.47 / $1,800.47 / $1,800.47	Facility		$1,800.47	$1,800.47	$1,800.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,433.06	Facility		$1,162.20	$1,162.20	$1,433.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $1,162.20	Professional		$848.41	$848.41	$1,162.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,008.83 / $8,339.85 / $8,339.85	Facility		$3,008.83	$8,339.85	$8,339.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,016.74 / $9,016.74 / $13,110.08	Professional		$9,016.74	$9,016.74	$13,110.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $515.29 / $1,245.74 / $1,800.47	Facility		$515.29	$1,245.74	$1,800.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $515.29 / $1,620.42 / $1,800.47	Professional		$515.29	$1,620.42	$1,800.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $677.30 / $1,890.49 / $1,928.30	Professional		$677.30	$1,890.49	$1,928.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.29 / $1,203.03 / $1,800.47	Facility		$515.29	$1,203.03	$1,800.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $1,433.06	Professional		$848.41	$848.41	$1,433.06
United Facility/Professional Professional Modifier Low / Median / High Price $665.14 / $961.86 / $1,145.08	Professional		$665.14	$961.86	$1,145.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $958.50 / $968.81 / $1,800.47	Professional		$958.50	$968.81	$1,800.47