Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.50 / $2,449.00 / $7,236.74	Facility		$494.50	$2,449.00	$7,236.74
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $66.70 / $103.15 / $175.92	Facility	52	$66.70	$103.15	$175.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $217.01 / $366.79	Professional		$117.36	$217.01	$366.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $81.27 / $216.98	Professional		$62.52	$81.27	$216.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.65 / $2,246.06 / $4,349.05	Facility		$1,191.65	$2,246.06	$4,349.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $203.45 / $381.44	Professional		$119.53	$203.45	$381.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $319.95 / $1,055.97 / $3,653.00	Facility		$319.95	$1,055.97	$3,653.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $182.57 / $261.98	Professional		$127.67	$182.57	$261.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $119.33 / $1,107.92 / $1,107.92	Facility		$119.33	$1,107.92	$1,107.92
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 $148.68 / $257.51 / $484.79	Professional		$148.68	$257.51	$484.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.33 / $16,394.00 / $16,394.00	Facility		$1,051.33	$16,394.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $477.18 / $514.26 / $514.26	Facility	52	$477.18	$514.26	$514.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $2,128.05 / $6,313.62	Professional		$1,272.00	$2,128.05	$6,313.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $275.36 / $541.42	Facility		$138.52	$275.36	$541.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $272.20 / $445.41	Professional		$165.69	$272.20	$445.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $234.63 / $341.55	Professional		$123.68	$234.63	$341.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $280.97 / $550.61	Facility		$138.52	$280.97	$550.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $269.56 / $515.09	Professional		$150.32	$269.56	$515.09
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,193.00 / $4,509.00	Facility		$564.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $313.33 / $493.81	Professional		$221.24	$313.33	$493.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.19 / $238.43 / $335.49	Professional		$211.19	$238.43	$335.49