Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.80 / $2,906.83 / $6,837.00	Facility		$646.80	$2,906.83	$6,837.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.74 / $50.51 / $126.76	Facility	53	$24.74	$50.51	$126.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $385.97 / $725.56	Professional		$126.28	$385.97	$725.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $153.07 / $410.23	Professional		$139.29	$153.07	$410.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.41 / $2,143.37 / $4,213.88	Facility		$1,151.41	$2,143.37	$4,213.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $394.44 / $780.86	Professional		$149.13	$394.44	$780.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,027.01 / $2,106.94 / $6,237.00	Facility		$1,027.01	$2,106.94	$6,237.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $520.63 / $540.94 / $540.94	Professional		$520.63	$540.94	$540.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $136.84 / $936.57 / $936.57	Facility		$136.84	$936.57	$936.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $528.15 / $1,109.48	Professional		$188.13	$528.15	$1,109.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $781.85	Facility		$55.00	$55.00	$781.85
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $145.93 / $156.37 / $156.37	Facility	53	$145.93	$156.37	$156.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.49 / $3,502.96 / $4,077.23	Professional		$1,820.49	$3,502.96	$4,077.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.06 / $404.13 / $1,147.08	Facility		$155.06	$404.13	$1,147.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $518.07 / $847.75	Professional		$202.68	$518.07	$847.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $450.80 / $940.76	Professional		$151.58	$450.80	$940.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.06 / $402.34 / $1,018.30	Facility		$155.06	$402.34	$1,018.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $548.48 / $1,130.81	Professional		$190.30	$548.48	$1,130.81
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.01 / $712.89 / $1,140.82	Professional		$529.01	$712.89	$1,140.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $401.96 / $450.80 / $638.96	Professional		$401.96	$450.80	$638.96