Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.65 / $2,496.00 / $7,495.00	Facility		$331.65	$2,496.00	$7,495.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,143.89 / $3,143.89 / $4,728.00	Facility	50	$3,143.89	$3,143.89	$4,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $247.99 / $357.62	Professional		$146.71	$247.99	$357.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $459.93 / $459.93 / $624.76	Professional	50	$459.93	$459.93	$624.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.82 / $339.82 / $339.82	Professional		$339.82	$339.82	$339.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.31 / $351.30 / $2,382.66	Facility		$179.31	$351.30	$2,382.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $240.06 / $415.71	Professional		$136.36	$240.06	$415.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $299.14 / $1,718.51 / $2,266.94	Facility		$299.14	$1,718.51	$2,266.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $204.22 / $319.32 / $385.50	Professional		$204.22	$319.32	$385.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $126.46 / $126.46	Facility		$126.46	$126.46	$126.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.37 / $268.37 / $268.37	Facility		$268.37	$268.37	$268.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $297.33 / $479.85	Professional		$160.50	$297.33	$479.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,185.24	Facility		$55.00	$55.00	$1,185.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.94 / $1,246.50 / $2,403.44	Professional		$1,087.94	$1,246.50	$2,403.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $280.14 / $480.23	Facility		$146.13	$280.14	$480.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.97 / $359.96 / $498.40	Professional		$187.97	$359.96	$498.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.10 / $446.10 / $446.10	Professional		$446.10	$446.10	$446.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $283.06 / $580.32	Facility		$146.13	$283.06	$580.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $305.73 / $513.67	Professional		$164.25	$305.73	$513.67
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,193.00 / $4,554.00	Facility		$564.00	$2,193.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.69 / $302.12 / $479.77	Professional		$215.69	$302.12	$479.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.32 / $265.86 / $374.85	Professional		$236.32	$265.86	$374.85