Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $1,778.28 / $3,801.89	Facility	50	$1,318.26	$1,778.28	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,691.53 / $4,677.35	Professional		$245.47	$2,691.53	$4,677.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $6,456.54 / $16,982.44	Professional	50	$741.31	$6,456.54	$16,982.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,754.23	Professional		$2,630.27	$2,630.27	$2,754.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $3,715.35 / $4,265.80 / $6,165.95	Professional	50	$3,715.35	$4,265.80	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $15,135.61	Facility		$1,905.46	$3,630.78	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $2,137.96 / $3,715.35	Professional		$208.93	$2,137.96	$3,715.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $3,019.95	Facility		$245.47	$676.08	$3,019.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $3,890.45	Professional		$281.84	$346.74	$3,890.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $8,511.38 / $8,511.38	Facility		$213.80	$8,511.38	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $2,754.23 / $6,309.57	Professional		$275.42	$2,754.23	$6,309.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,782.79	Facility		$54.95	$56.23	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $25,118.86 / $25,118.86	Professional		$21,379.62	$25,118.86	$25,118.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,235.94 / $7,943.28	Facility		$316.23	$3,235.94	$7,943.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $1,778.28 / $5,888.44	Facility	50	$1,318.26	$1,778.28	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $3,019.95 / $5,248.07	Professional		$251.19	$3,019.95	$5,248.07
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $5,623.41 / $16,982.44	Professional	50	$741.31	$5,623.41	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $9,120.11	Professional		$5.01	$5.01	$9,120.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,511.89 / $5,754.40	Facility		$239.88	$2,511.89	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $2,691.53 / $6,309.57	Professional		$269.15	$2,691.53	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,949.84 / $5,888.44	Professional		$234.42	$1,949.84	$5,888.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $2,951.21	Professional		$2,818.38	$2,951.21	$2,951.21