Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.09 / $2,550.00 / $7,911.34	Facility		$366.09	$2,550.00	$7,911.34
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.23 / $101.98 / $169.21	Facility	52	$65.23	$101.98	$169.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $232.97 / $366.09	Professional		$130.34	$232.97	$366.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $112.49 / $123.61	Professional		$75.45	$112.49	$123.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.25 / $2,160.21 / $4,277.00	Facility		$1,141.25	$2,160.21	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $225.91 / $380.14	Professional		$119.12	$225.91	$380.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $439.56 / $1,797.33 / $4,100.00	Facility		$439.56	$1,797.33	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $145.99 / $283.82	Professional		$123.22	$145.99	$283.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $118.45 / $1,711.50 / $1,711.50	Facility		$118.45	$1,711.50	$1,711.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.07 / $1,137.07 / $1,137.07	Facility		$1,137.07	$1,137.07	$1,137.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $255.35 / $478.44	Professional		$145.05	$255.35	$478.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.05 / $12,000.00 / $12,000.00	Facility		$1,037.05	$12,000.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $472.30 / $507.15 / $507.15	Facility	52	$472.30	$507.15	$507.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,812.48 / $2,099.69	Professional		$1,212.00	$1,812.48	$2,099.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $273.55 / $522.60	Facility		$137.79	$273.55	$522.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $253.05 / $437.85	Professional		$164.00	$253.05	$437.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $231.36 / $335.82	Professional		$120.87	$231.36	$335.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $279.57 / $534.92	Facility		$137.79	$279.57	$534.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $263.80 / $494.66	Professional		$149.18	$263.80	$494.66
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.62 / $312.55 / $483.91	Professional		$216.62	$312.55	$483.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.61 / $234.26 / $329.48	Professional		$207.61	$234.26	$329.48