Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,578.00 / $7,495.00	Facility		$649.00	$2,578.00	$7,495.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $177.25 / $194.72 / $321.70	Facility	52	$177.25	$194.72	$321.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.81 / $427.74 / $684.52	Professional		$371.81	$427.74	$684.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.38 / $407.87 / $493.74	Professional		$261.38	$407.87	$493.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,124.67 / $4,126.56 / $8,173.76	Facility		$2,124.67	$4,126.56	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.88 / $469.36 / $668.40	Professional		$384.88	$469.36	$668.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $413.19 / $542.88 / $690.54	Professional		$413.19	$542.88	$690.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $388.04 / $3,612.28 / $3,612.28	Facility		$388.04	$3,612.28	$3,612.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $480.35 / $480.35	Facility		$480.35	$480.35	$480.35
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.34 / $581.30 / $885.51	Professional		$429.34	$581.30	$885.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.08 / $11,500.00 / $16,394.00	Facility		$1,567.08	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $774.70 / $6,791.96 / $6,791.96	Facility	52	$774.70	$6,791.96	$6,791.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $96.84 / $849.00 / $849.00	Facility	AS	$96.84	$849.00	$849.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,259.28 / $3,366.84 / $3,564.15	Professional		$3,259.28	$3,366.84	$3,564.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $411.99 / $547.64 / $845.79	Facility		$411.99	$547.64	$845.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $470.94 / $590.32 / $768.91	Professional		$470.94	$590.32	$768.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.55 / $494.32 / $840.60	Professional		$409.55	$494.32	$840.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $411.99 / $548.32 / $905.98	Facility		$411.99	$548.32	$905.98
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $136.94	Facility	AS	$47.50	$47.50	$136.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.27 / $601.44 / $900.41	Professional		$432.27	$601.44	$900.41
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 $335.93 / $467.47 / $743.13	Professional		$335.93	$467.47	$743.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $352.82 / $402.13 / $557.80	Professional		$352.82	$402.13	$557.80