Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,079.46	Facility		$707.95	$2,951.21	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,162.28 / $3,162.28 / $4,677.35	Facility	50	$3,162.28	$3,162.28	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $457.09	Professional		$144.54	$263.03	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $1,479.11 / $2,398.83	Professional	50	$457.09	$1,479.11	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $295.12 / $512.86	Professional	50	$208.93	$295.12	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $371.54 / $2,630.27	Facility		$181.97	$371.54	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $416.87	Professional		$141.25	$245.47	$416.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,905.46 / $3,981.07	Facility		$302.00	$1,905.46	$3,981.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $389.05	Professional		$204.17	$316.23	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $501.19	Professional		$162.18	$295.12	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,174.90	Facility		$54.95	$56.23	$1,174.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,398.83	Professional		$2,041.74	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $977.24 / $5,128.61	Facility		$190.55	$977.24	$5,128.61
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,162.28 / $3,162.28 / $4,677.35	Facility	50	$3,162.28	$3,162.28	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $524.81	Professional		$144.54	$281.84	$524.81
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $630.96 / $2,818.38	Professional	50	$457.09	$630.96	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $758.58	Professional		$6.03	$6.03	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $512.86	Facility		$141.25	$288.40	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $501.19	Professional		$158.49	$295.12	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $416.87	Professional		$138.04	$234.42	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40