Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.37 / $2,151.00 / $7,078.00	Facility		$335.37	$2,151.00	$7,078.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $195.31 / $240.34 / $371.65	Facility	54	$195.31	$240.34	$371.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $329.19 / $584.20	Professional		$276.31	$329.19	$584.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $408.94 / $408.94	Professional		$408.94	$408.94	$408.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $171.07 / $666.84	Facility		$95.88	$171.07	$666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.41 / $365.06 / $528.55	Professional		$288.41	$365.06	$528.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $225.24 / $297.75 / $528.98	Facility		$225.24	$297.75	$528.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $345.37 / $450.48 / $581.54	Professional		$345.37	$450.48	$581.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $227.47 / $227.47 / $311.77	Facility		$227.47	$227.47	$311.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.57 / $529.57 / $529.57	Facility		$529.57	$529.57	$529.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.36 / $418.89 / $642.72	Professional		$316.36	$418.89	$642.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,633.48	Facility		$55.00	$55.00	$1,633.48
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,020.47 / $1,143.44 / $1,143.44	Facility	54	$1,020.47	$1,143.44	$1,143.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,292.08 / $2,621.60 / $3,052.20	Professional		$2,292.08	$2,621.60	$3,052.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $391.27 / $615.87	Facility		$294.00	$391.27	$615.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.16 / $489.54 / $624.16	Professional		$397.16	$489.54	$624.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $365.46 / $525.55 / $815.31	Professional		$365.46	$525.55	$815.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $395.88 / $628.82	Facility		$294.00	$395.88	$628.82
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $661.67	Facility	54	$370.70	$370.70	$661.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.16 / $447.79 / $683.73	Professional		$322.16	$447.79	$683.73
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $943.00 / $2,376.00	Facility		$161.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $361.56 / $570.54	Professional		$263.89	$361.56	$570.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.43 / $336.39 / $472.16	Professional		$298.43	$336.39	$472.16