Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.50 / $4,256.00 / $9,927.00	Facility		$991.50	$4,256.00	$9,927.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,770.00 / $10,935.10 / $13,954.17	Facility	50	$7,770.00	$10,935.10	$13,954.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $573.08 / $978.32	Professional		$455.00	$573.08	$978.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.30 / $520.65 / $687.26	Professional		$273.30	$520.65	$687.26
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 $437.15 / $544.12 / $866.96	Professional		$437.15	$544.12	$866.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $2,503.00 / $8,100.00	Facility		$769.00	$2,503.00	$8,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $450.96 / $886.00	Professional		$308.08	$450.96	$886.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.73 / $2,771.96 / $2,771.96	Facility		$501.73	$2,771.96	$2,771.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.99 / $618.99 / $618.99	Facility		$618.99	$618.99	$618.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $61.52	Facility	AS	$61.52	$61.52	$61.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.82 / $747.59 / $1,195.63	Professional		$556.82	$747.59	$1,195.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,817.95 / $26,542.00 / $33,500.00	Facility		$7,817.95	$26,542.00	$33,500.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $124.68 / $849.00 / $849.00	Facility	AS	$124.68	$849.00	$849.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,283.53 / $5,283.53 / $5,283.53	Professional		$5,283.53	$5,283.53	$5,283.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $535.80 / $736.68 / $1,320.76	Facility		$535.80	$736.68	$1,320.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.43 / $753.55 / $1,055.08	Professional		$499.43	$753.55	$1,055.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $817.59 / $2,048.42 / $5,733.00	Facility		$817.59	$2,048.42	$5,733.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $523.88 / $702.88 / $1,121.24	Professional		$523.88	$702.88	$1,121.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.57 / $730.27 / $1,217.65	Facility		$535.57	$730.27	$1,217.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $207.11 / $207.11 / $207.11	Facility	80	$207.11	$207.11	$207.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $176.04	Facility	AS	$61.52	$61.52	$176.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.62 / $780.98 / $1,156.60	Professional		$560.62	$780.98	$1,156.60
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 $443.34 / $591.15 / $953.95	Professional		$443.34	$591.15	$953.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $520.65 / $725.06	Professional		$459.38	$520.65	$725.06