Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.17 / $682.94 / $2,100.00	Facility		$657.17	$682.94	$2,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.40 / $682.94 / $1,114.60	Professional		$631.40	$682.94	$1,114.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $735.80 / $735.80 / $1,177.27	Professional		$735.80	$735.80	$1,177.27
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 $700.34 / $700.34 / $876.23	Professional		$700.34	$700.34	$876.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $917.69 / $1,103.69 / $1,383.00	Professional		$917.69	$1,103.69	$1,383.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,471.59 / $1,471.59 / $1,471.59	Facility		$1,471.59	$1,471.59	$1,471.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $906.54	Professional		$661.77	$661.77	$906.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,168.65 / $6,758.11 / $6,758.11	Facility		$3,168.65	$6,758.11	$6,758.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,284.37 / $7,284.37 / $9,474.98	Professional		$7,284.37	$7,284.37	$9,474.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $1,104.80 / $1,471.59	Facility		$406.89	$1,104.80	$1,471.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $406.89 / $1,321.76 / $1,471.59	Professional		$406.89	$1,321.76	$1,471.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.59 / $1,576.07 / $5,636.19	Professional		$1,471.59	$1,576.07	$5,636.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $912.30 / $1,471.59	Facility		$406.89	$912.30	$1,471.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $1,024.81	Professional		$661.77	$661.77	$1,024.81
United Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $776.98 / $904.19	Professional		$525.22	$776.98	$904.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $756.87 / $765.53 / $1,471.59	Professional		$756.87	$765.53	$1,471.59