Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.09 / $3,174.00 / $8,590.00	Facility		$690.09	$3,174.00	$8,590.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,713.50 / $3,964.50 / $6,663.69	Facility	50	$1,713.50	$3,964.50	$6,663.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.87 / $426.67 / $774.51	Professional		$326.87	$426.67	$774.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $400.05 / $533.33	Professional		$379.18	$400.05	$533.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,423.64 / $4,544.33 / $9,028.06	Facility		$2,423.64	$4,544.33	$9,028.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $501.72 / $783.47	Professional		$385.98	$501.72	$783.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $1,230.44 / $4,050.00	Facility		$168.30	$1,230.44	$4,050.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $225.65 / $400.05 / $660.08	Professional		$225.65	$400.05	$660.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $396.60 / $3,738.63 / $3,738.63	Facility		$396.60	$3,738.63	$3,738.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $2,207.78 / $2,207.78	Facility		$2,207.78	$2,207.78	$2,207.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.31 / $606.25 / $927.32	Professional		$444.31	$606.25	$927.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.53 / $26,542.00 / $26,542.00	Facility		$2,089.53	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,998.80 / $3,719.28 / $4,492.20	Professional		$2,998.80	$3,719.28	$4,492.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.55 / $535.95 / $910.73	Facility		$395.55	$535.95	$910.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $536.55 / $681.02 / $918.77	Professional		$536.55	$681.02	$918.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.36 / $700.09 / $1,558.01	Professional		$412.36	$700.09	$1,558.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.09 / $538.01 / $1,039.82	Facility		$396.09	$538.01	$1,039.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.25 / $622.69 / $1,058.86	Professional		$453.25	$622.69	$1,058.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.02 / $538.49 / $890.83	Professional		$393.02	$538.49	$890.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $435.64 / $492.37 / $686.65	Professional		$435.64	$492.37	$686.65