Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.00 / $1,859.00 / $6,261.00	Facility		$437.00	$1,859.00	$6,261.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.62 / $268.38 / $426.94	Facility	54	$225.62	$268.38	$426.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $375.76 / $638.25	Professional		$311.50	$375.76	$638.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.41 / $345.02 / $773.64	Facility		$193.41	$345.02	$773.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.73 / $421.16 / $592.24	Professional		$332.73	$421.16	$592.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $427.79 / $475.32 / $2,100.32	Facility		$427.79	$475.32	$2,100.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $395.30 / $651.49	Professional		$205.28	$395.30	$651.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $345.37 / $345.37 / $348.09	Facility		$345.37	$345.37	$348.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.91 / $606.91 / $606.91	Facility		$606.91	$606.91	$606.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.02 / $473.00 / $725.09	Professional		$358.02	$473.00	$725.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,711.44 / $11,500.00 / $12,000.00	Facility		$1,711.44	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,174.11 / $1,323.52 / $1,323.52	Facility	54	$1,174.11	$1,323.52	$1,323.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,636.64 / $2,936.88 / $3,420.75	Professional		$2,636.64	$2,936.88	$3,420.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.55 / $430.92 / $685.16	Facility		$331.55	$430.92	$685.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $548.41 / $699.22	Professional		$456.96	$548.41	$699.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $427.27 / $553.21 / $896.28	Professional		$427.27	$553.21	$896.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.12 / $432.95 / $705.75	Facility		$332.12	$432.95	$705.75
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $738.76	Facility	54	$424.84	$424.84	$738.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.24 / $503.00 / $763.12	Professional		$370.24	$503.00	$763.12
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.04 / $403.22 / $624.97	Professional		$295.04	$403.22	$624.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $376.48 / $529.08	Professional		$334.32	$376.48	$529.08