Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $2,754.00 / $8,978.61	Facility		$788.00	$2,754.00	$8,978.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,238.00 / $4,385.47 / $12,540.00	Facility	50	$1,238.00	$4,385.47	$12,540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.73 / $594.34 / $1,175.82	Professional		$493.73	$594.34	$1,175.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.65 / $642.54 / $835.30	Professional		$417.65	$642.54	$835.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,484.23 / $4,574.62 / $9,058.35	Facility		$2,484.23	$4,574.62	$9,058.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.78 / $659.40 / $1,050.65	Professional		$529.78	$659.40	$1,050.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,527.51 / $7,911.00	Facility		$408.00	$1,527.51	$7,911.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $628.78 / $1,068.93	Professional		$321.27	$628.78	$1,068.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.34 / $3,513.26 / $3,513.26	Facility		$616.34	$3,513.26	$3,513.26
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 $667.63 / $872.96 / $1,331.89	Professional		$667.63	$872.96	$1,331.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $26,542.00 / $26,542.00	Facility		$8,723.79	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $146.26 / $826.90 / $826.90	Facility	AS	$146.26	$826.90	$826.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,694.80 / $4,805.92 / $5,710.43	Professional		$4,694.80	$4,805.92	$5,710.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.17 / $757.76 / $1,401.40	Facility		$585.17	$757.76	$1,401.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $711.98 / $990.29 / $1,203.89	Professional		$711.98	$990.29	$1,203.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $628.78 / $1,049.78 / $2,408.23	Professional		$628.78	$1,049.78	$2,408.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.17 / $793.84 / $1,426.88	Facility		$585.17	$793.84	$1,426.88
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $253.62 / $253.62 / $253.62	Facility	80	$253.62	$253.62	$253.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $215.58 / $215.58 / $215.58	Facility	AS	$215.58	$215.58	$215.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $667.63 / $887.64 / $1,369.45	Professional		$667.63	$887.64	$1,369.45
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 $512.20 / $722.26 / $1,124.19	Professional		$512.20	$722.26	$1,124.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $552.41 / $628.78 / $867.43	Professional		$552.41	$628.78	$867.43