Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,019.95 / $9,549.93	Facility		$812.83	$3,019.95	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $4,786.30 / $16,595.87	Facility	50	$1,230.27	$4,786.30	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,445.44	Professional		$489.78	$660.69	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $851.14	Professional		$575.44	$707.95	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $9,332.54	Facility		$2,570.40	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,000.00	Professional		$549.54	$645.65	$1,000.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,412.54 / $7,079.46	Facility		$363.08	$1,412.54	$7,079.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,148.15	Professional		$630.96	$831.76	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,548.13 / $3,548.13	Facility		$616.60	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,380.38	Professional		$602.56	$851.14	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $45,708.82 / $45,708.82	Facility		$8,709.64	$45,708.82	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AS	$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $5,754.40	Professional		$4,677.35	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,089.30 / $8,317.64	Facility		$630.96	$2,089.30	$8,317.64
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $4,786.30 / $16,595.87	Facility	50	$2,041.74	$4,786.30	$16,595.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,445.44	Professional		$524.81	$831.76	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,584.89	Professional		$660.69	$1,202.26	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $1,412.54	Facility		$562.34	$776.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,380.38	Professional		$602.56	$851.14	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,096.48	Professional		$512.86	$691.83	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $660.69	Professional		$616.60	$660.69	$660.69