Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,580.00 / $12,040.00	Facility		$803.00	$3,580.00	$12,040.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,219.71 / $4,035.17 / $7,357.50	Facility	50	$1,219.71	$4,035.17	$7,357.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.75 / $366.52 / $503.61	Professional		$320.75	$366.52	$503.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $235.88 / $483.32 / $1,166.84	Professional	50	$235.88	$483.32	$1,166.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $228.91 / $228.91 / $416.62	Professional	50	$228.91	$228.91	$416.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.06 / $8,160.54 / $15,831.45	Facility		$3,917.06	$8,160.54	$15,831.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $308.13 / $510.73	Professional		$253.00	$308.13	$510.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $221.29 / $221.29 / $221.29	Professional		$221.29	$221.29	$221.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $268.92 / $7,084.69 / $7,084.69	Facility		$268.92	$7,084.69	$7,084.69
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 $332.33 / $464.32 / $756.68	Professional		$332.33	$464.32	$756.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,125.60 / $6,125.60 / $6,125.60	Professional		$6,125.60	$6,125.60	$6,125.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.48 / $536.21 / $910.42	Facility		$320.48	$536.21	$910.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $406.21 / $478.08 / $562.45	Professional		$406.21	$478.08	$562.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $374.61 / $427.31 / $662.80	Professional		$374.61	$427.31	$662.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.48 / $544.53 / $1,093.29	Facility		$320.48	$544.53	$1,093.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.01 / $472.50 / $832.15	Professional		$342.01	$472.50	$832.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,939.00	Facility		$1,634.00	$4,425.00	$10,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $413.54 / $656.76	Professional		$285.58	$413.54	$656.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.68 / $305.22 / $421.13	Professional		$266.68	$305.22	$421.13