Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,598.00 / $7,078.00	Facility		$649.00	$2,598.00	$7,078.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,968.00 / $12,725.68 / $12,725.68	Facility	50	$1,968.00	$12,725.68	$12,725.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.38 / $1,213.57 / $2,060.54	Professional		$308.38	$1,213.57	$2,060.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $326.77 / $450.05	Professional		$190.25	$326.77	$450.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $238.15 / $238.15 / $337.54	Professional	50	$238.15	$238.15	$337.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.44 / $4,295.47 / $8,564.31	Facility		$2,466.44	$4,295.47	$8,564.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.25 / $1,257.00 / $2,338.35	Professional		$305.25	$1,257.00	$2,338.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $308.27 / $308.27	Professional		$154.13	$308.27	$308.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $287.64 / $450.62 / $450.62	Facility		$287.64	$450.62	$450.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.08 / $850.55 / $2,587.28	Professional		$352.08	$850.55	$2,587.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,934.20	Facility		$55.00	$55.00	$2,934.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,958.06 / $11,140.80 / $13,352.55	Professional		$5,958.06	$11,140.80	$13,352.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.20 / $1,229.20 / $2,273.69	Facility		$312.20	$1,229.20	$2,273.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.84 / $1,900.36 / $3,252.87	Professional		$410.84	$1,900.36	$3,252.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.55 / $1,147.26 / $3,213.40	Professional		$345.55	$1,147.26	$3,213.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.63 / $1,290.83 / $2,393.32	Facility		$312.63	$1,290.83	$2,393.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.05 / $983.49 / $3,251.32	Professional		$375.05	$983.49	$3,251.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.14 / $1,725.67 / $2,773.85	Professional		$1,263.14	$1,725.67	$2,773.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,297.52 / $1,446.31 / $2,058.28	Professional		$1,297.52	$1,446.31	$2,058.28