Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,872.00 / $10,234.00	Facility		$714.00	$2,872.00	$10,234.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $623.00 / $3,583.50 / $5,018.75	Facility	50	$623.00	$3,583.50	$5,018.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $1,511.94 / $2,731.23	Professional		$142.13	$1,511.94	$2,731.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,707.02 / $7,200.00 / $7,200.00	Professional	50	$1,707.02	$7,200.00	$7,200.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,143.90 / $2,143.90 / $2,143.90	Professional	50	$2,143.90	$2,143.90	$2,143.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,616.91 / $2,758.13 / $9,646.94	Facility		$1,616.91	$2,758.13	$9,646.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $1,281.01 / $2,611.17	Professional		$131.74	$1,281.01	$2,611.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,744.95 / $2,072.44 / $2,072.44	Professional		$1,744.95	$2,072.44	$2,072.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.38 / $6,093.89 / $6,093.89	Facility		$121.38	$6,093.89	$6,093.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.62 / $2,034.62 / $2,034.62	Facility		$2,034.62	$2,034.62	$2,034.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.62 / $530.38 / $3,993.42	Professional		$158.62	$530.38	$3,993.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,612.14 / $5,897.00 / $5,897.00	Facility		$2,612.14	$5,897.00	$5,897.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,966.34 / $18,756.31 / $19,319.00	Professional		$10,966.34	$18,756.31	$19,319.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $573.30 / $4,219.72	Facility		$145.75	$573.30	$4,219.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.66 / $1,658.79 / $2,714.38	Professional		$181.66	$1,658.79	$2,714.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $437.80 / $437.80 / $437.80	Professional		$437.80	$437.80	$437.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $1,275.61 / $4,319.25	Facility		$145.75	$1,275.61	$4,319.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.34 / $1,017.14 / $4,201.76	Professional		$164.34	$1,017.14	$4,201.76
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 $1,569.57 / $2,229.56 / $5,467.14	Professional		$1,569.57	$2,229.56	$5,467.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,287.02 / $1,429.27 / $2,048.42	Professional		$1,287.02	$1,429.27	$2,048.42