Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,444.00 / $9,715.39	Facility		$488.00	$2,444.00	$9,715.39
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $980.25 / $980.25 / $3,891.75	Facility	50	$980.25	$980.25	$3,891.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $410.73 / $765.63	Professional		$110.73	$410.73	$765.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $160.22 / $320.45 / $987.86	Professional	50	$160.22	$320.45	$987.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $82.77 / $217.79	Professional		$50.17	$82.77	$217.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,428.00 / $8,102.00	Facility		$1,845.00	$5,428.00	$8,102.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $376.16 / $817.60	Professional		$101.21	$376.16	$817.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $2,600.00 / $8,000.00	Facility		$104.67	$2,600.00	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $77.20 / $154.38	Professional		$77.20	$77.20	$154.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $93.80 / $518.00	Facility		$93.80	$93.80	$518.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $296.80 / $901.81	Professional		$124.68	$296.80	$901.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $712.50 / $939.81	Facility		$55.00	$712.50	$939.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.34 / $4,525.52 / $4,661.29	Professional		$1,908.34	$4,525.52	$4,661.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.10 / $405.00 / $993.87	Facility		$109.10	$405.00	$993.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.87 / $489.22 / $914.51	Professional		$132.87	$489.22	$914.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $381.85 / $1,018.74	Professional		$110.54	$381.85	$1,018.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $410.73 / $1,036.22	Facility		$109.42	$410.73	$1,036.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $351.05 / $1,140.22	Professional		$131.33	$351.05	$1,140.22
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,287.00	Facility		$161.00	$950.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $597.07 / $1,004.16	Professional		$421.12	$597.07	$1,004.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $419.63 / $468.36 / $666.56	Professional		$419.63	$468.36	$666.56