Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $4,210.93 / $10,339.70	Facility		$1,086.00	$4,210.93	$10,339.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,563.00 / $3,832.00 / $7,770.00	Facility	50	$3,563.00	$3,832.00	$7,770.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.78 / $595.35 / $1,043.04	Professional		$486.78	$595.35	$1,043.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $551.95 / $985.16	Professional		$329.53	$551.95	$985.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,243.05 / $8,384.57	Facility		$2,436.33	$4,243.05	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.02 / $563.80 / $889.58	Professional		$454.02	$563.80	$889.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $3,287.12 / $7,289.55	Facility		$831.60	$3,287.12	$7,289.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $319.55 / $567.23 / $935.07	Professional		$319.55	$567.23	$935.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $518.49 / $2,881.96 / $2,881.96	Facility		$518.49	$2,881.96	$2,881.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $642.04 / $642.04	Facility		$642.04	$642.04	$642.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.44 / $785.27 / $1,240.93	Professional		$578.44	$785.27	$1,240.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,648.80 / $11,500.00 / $26,542.00	Facility		$2,648.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $129.22 / $849.00 / $849.00	Facility	AS	$129.22	$849.00	$849.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,386.47 / $6,386.47 / $6,386.47	Professional		$6,386.47	$6,386.47	$6,386.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.73 / $779.95 / $1,254.15	Facility		$555.73	$779.95	$1,254.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $590.50 / $781.62 / $1,038.44	Professional		$590.50	$781.62	$1,038.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $924.26 / $2,048.42 / $5,733.00	Facility		$924.26	$2,048.42	$5,733.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $541.71 / $729.30 / $1,163.82	Professional		$541.71	$729.30	$1,163.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.73 / $781.04 / $1,263.79	Facility		$555.73	$781.04	$1,263.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $182.71	Facility	AS	$63.83	$63.83	$182.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $581.91 / $810.33 / $1,200.38	Professional		$581.91	$810.33	$1,200.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.81 / $611.51 / $993.29	Professional		$438.81	$611.51	$993.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $476.49 / $540.22 / $751.92	Professional		$476.49	$540.22	$751.92