Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $3,006.55 / $7,104.26	Facility		$640.00	$3,006.55	$7,104.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,788.50 / $7,046.42 / $11,717.16	Facility	50	$2,788.50	$7,046.42	$11,717.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $390.62 / $735.21	Professional		$131.22	$390.62	$735.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $161.15 / $445.58	Professional		$130.93	$161.15	$445.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,102.11 / $2,127.53 / $4,172.70	Facility		$1,102.11	$2,127.53	$4,172.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.08 / $360.07 / $697.42	Professional		$136.08	$360.07	$697.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,133.25 / $1,804.60 / $5,253.22	Facility		$1,133.25	$1,804.60	$5,253.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $468.19 / $608.65 / $824.32	Professional		$468.19	$608.65	$824.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $1,017.68 / $1,017.68	Facility		$129.19	$1,017.68	$1,017.68
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 $178.01 / $519.84 / $1,106.57	Professional		$178.01	$519.84	$1,106.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $885.27	Facility		$55.00	$55.00	$885.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.60 / $3,464.32 / $4,033.05	Professional		$1,797.60	$3,464.32	$4,033.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.24 / $409.33 / $1,161.83	Facility		$146.24	$409.33	$1,161.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $512.37 / $838.42	Professional		$190.49	$512.37	$838.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $560.14 / $2,499.00 / $5,762.40	Facility		$560.14	$2,499.00	$5,762.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $445.58 / $930.46	Professional		$142.47	$445.58	$930.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.24 / $397.68 / $1,016.69	Facility		$146.24	$397.68	$1,016.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.13 / $528.01 / $1,123.86	Professional		$181.13	$528.01	$1,123.86
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 $495.44 / $682.07 / $1,096.79	Professional		$495.44	$682.07	$1,096.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $397.54 / $445.58 / $632.05	Professional		$397.54	$445.58	$632.05