Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $3,102.00 / $11,097.60	Facility		$662.00	$3,102.00	$11,097.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,461.07 / $9,461.07 / $26,333.68	Facility	50	$9,461.07	$9,461.07	$26,333.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.39 / $458.64 / $791.86	Professional		$314.39	$458.64	$791.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $339.18 / $565.85	Professional		$186.46	$339.18	$565.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,182.89 / $4,243.05 / $8,173.76	Facility		$2,182.89	$4,243.05	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $489.05 / $681.60	Professional		$350.94	$489.05	$681.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $336.60 / $2,507.75 / $8,100.00	Facility		$336.60	$2,507.75	$8,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $214.44 / $318.39 / $645.20	Professional		$214.44	$318.39	$645.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $362.34 / $2,418.83 / $2,418.83	Facility		$362.34	$2,418.83	$2,418.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.53 / $662.53 / $662.53	Facility		$662.53	$662.53	$662.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.08 / $588.07 / $908.84	Professional		$399.08	$588.07	$908.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,838.80 / $11,500.00 / $26,542.00	Facility		$1,838.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,920.24 / $4,527.45	Professional		$2,880.00	$3,920.24	$4,527.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.76 / $520.13 / $833.56	Facility		$383.76	$520.13	$833.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $672.49 / $937.68	Professional		$450.76	$672.49	$937.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $544.77 / $1,659.00 / $5,733.00	Facility		$544.77	$1,659.00	$5,733.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.28 / $752.86 / $1,514.04	Professional		$416.28	$752.86	$1,514.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.85 / $521.66 / $853.22	Facility		$383.85	$521.66	$853.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.07 / $612.72 / $1,012.40	Professional		$415.07	$612.72	$1,012.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $558.66 / $883.94	Professional		$418.22	$558.66	$883.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $448.34 / $506.20 / $711.71	Professional		$448.34	$506.20	$711.71