Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.00 / $2,116.55 / $6,189.00	Facility		$459.00	$2,116.55	$6,189.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $87.68 / $135.00 / $259.24	Facility	52	$87.68	$135.00	$259.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $299.08 / $476.32	Professional		$162.90	$299.08	$476.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $148.91 / $197.98	Professional		$82.25	$148.91	$197.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,191.96 / $4,522.84 / $8,713.18	Facility		$2,191.96	$4,522.84	$8,713.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $297.14 / $535.66	Professional		$153.80	$297.14	$535.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $2,979.07 / $5,265.65	Facility		$588.72	$2,979.07	$5,265.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $234.85 / $278.17	Professional		$163.63	$234.85	$278.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $2,729.12 / $2,729.12	Facility		$156.72	$2,729.12	$2,729.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.50 / $2,311.50 / $2,311.50	Facility		$2,311.50	$2,311.50	$2,311.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $361.30 / $634.65	Professional		$194.94	$361.30	$634.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,376.27 / $16,394.00 / $16,394.00	Facility		$1,376.27	$16,394.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $623.66 / $671.54 / $671.54	Facility	52	$623.66	$671.54	$671.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $2,658.56 / $3,053.40	Professional		$1,440.00	$2,658.56	$3,053.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.17 / $386.60 / $703.60	Facility		$183.17	$386.60	$703.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.55 / $390.68 / $639.29	Professional		$216.55	$390.68	$639.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $332.26 / $498.75	Professional		$159.49	$332.26	$498.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.17 / $392.59 / $751.27	Facility		$183.17	$392.59	$751.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.53 / $369.19 / $682.90	Professional		$197.53	$369.19	$682.90
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 $311.85 / $425.36 / $662.77	Professional		$311.85	$425.36	$662.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.12 / $341.84 / $481.80	Professional		$303.12	$341.84	$481.80