Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.16 / $2,500.00 / $6,691.00	Facility		$317.16	$2,500.00	$6,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,704.58 / $4,770.89 / $19,813.53	Facility	50	$1,704.58	$4,770.89	$19,813.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $261.52 / $408.87	Professional		$158.15	$261.52	$408.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $404.99 / $465.81 / $835.59	Professional	50	$404.99	$465.81	$835.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $247.80 / $317.16	Professional		$152.13	$247.80	$317.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $475.74 / $475.74 / $475.74	Professional	50	$475.74	$475.74	$475.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.24 / $2,274.67 / $4,835.46	Facility		$1,273.24	$2,274.67	$4,835.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $238.86 / $397.12	Professional		$147.27	$238.86	$397.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $713.60 / $3,802.77 / $14,332.64	Facility		$713.60	$3,802.77	$14,332.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $179.66 / $220.59	Professional		$148.34	$179.66	$220.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $1,415.23 / $1,415.23	Facility		$135.66	$1,415.23	$1,415.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.07 / $1,137.07 / $1,137.07	Facility		$1,137.07	$1,137.07	$1,137.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $291.86 / $541.40	Professional		$173.60	$291.86	$541.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.98 / $16,394.00 / $16,394.00	Facility		$1,096.98	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,338.00 / $3,411.19 / $3,411.19	Professional		$3,338.00	$3,411.19	$3,411.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.70 / $311.29 / $616.97	Facility		$170.70	$311.29	$616.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.10 / $290.58 / $463.46	Professional		$203.10	$290.58	$463.46
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $735.59 / $735.59 / $735.59	Professional	50	$735.59	$735.59	$735.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.50 / $341.50 / $341.50	Professional		$341.50	$341.50	$341.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $321.02 / $640.09	Facility		$170.89	$321.02	$640.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $300.64 / $546.65	Professional		$177.66	$300.64	$546.65
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.21 / $303.93 / $485.78	Professional		$220.21	$303.93	$485.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.75 / $247.80 / $348.27	Professional		$219.75	$247.80	$348.27