Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.14 / $3,166.00 / $10,481.00	Facility		$509.14	$3,166.00	$10,481.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,178.41 / $3,724.50 / $7,991.82	Facility	50	$1,178.41	$3,724.50	$7,991.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.52 / $337.86 / $542.19	Professional		$238.52	$337.86	$542.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.52 / $354.09 / $708.18	Professional	50	$88.52	$354.09	$708.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $147.43 / $229.91	Professional		$135.99	$147.43	$229.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $344.87 / $344.87 / $344.87	Professional	50	$344.87	$344.87	$344.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,891.34 / $8,160.54 / $15,831.45	Facility		$3,891.34	$8,160.54	$15,831.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.70 / $392.44 / $606.29	Professional		$223.70	$392.44	$606.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $1,940.67 / $3,791.70	Facility		$168.30	$1,940.67	$3,791.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $166.69 / $592.21	Professional		$166.69	$166.69	$592.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $7,869.34 / $7,869.34	Facility		$202.43	$7,869.34	$7,869.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,482.15 / $3,482.15 / $3,482.15	Facility		$3,482.15	$3,482.15	$3,482.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $436.11 / $652.09	Professional		$264.45	$436.11	$652.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.72 / $26,542.00 / $26,542.00	Facility		$1,653.72	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,389.00 / $4,486.05 / $4,486.05	Professional		$4,389.00	$4,486.05	$4,486.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.48 / $423.44 / $848.62	Facility		$245.48	$423.44	$848.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.12 / $466.83 / $763.90	Professional		$306.12	$466.83	$763.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.99 / $444.20 / $588.63	Professional		$281.99	$444.20	$588.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.48 / $425.34 / $921.25	Facility		$245.48	$425.34	$921.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $443.22 / $776.22	Professional		$271.89	$443.22	$776.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.59 / $374.22 / $683.68	Professional		$250.59	$374.22	$683.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.20 / $408.42 / $574.21	Professional		$362.20	$408.42	$574.21