Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,715.35 / $11,748.98	Facility		$794.33	$3,715.35	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $7,413.10 / $14,125.38	Facility	50	$1,548.82	$7,413.10	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $933.25 / $3,090.30	Professional		$338.84	$933.25	$3,090.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $616.60 / $3,388.44	Professional	50	$234.42	$616.60	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $426.58	Professional		$162.18	$218.78	$426.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $380.19 / $707.95	Professional	50	$234.42	$380.19	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,244.36 / $14,125.38	Facility		$4,265.80	$7,244.36	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,412.54 / $2,454.71	Professional		$309.03	$1,412.54	$2,454.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,585.78	Facility		$2,630.27	$4,570.88	$7,585.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $575.44	Professional		$199.53	$363.08	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,677.35 / $4,677.35	Facility		$323.59	$4,677.35	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,230.27 / $3,715.35	Professional		$389.05	$1,230.27	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,481.54	Facility		$54.95	$56.23	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $16,595.87 / $16,595.87	Professional		$13,803.84	$16,595.87	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,041.74 / $4,786.30	Facility		$380.19	$2,041.74	$4,786.30
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $8,317.64 / $14,125.38	Facility	50	$2,137.96	$8,317.64	$14,125.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,047.13 / $3,981.07	Professional		$346.74	$1,047.13	$3,981.07
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $407.38 / $1,819.70	Professional	50	$154.88	$407.38	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $3,548.13 / $8,317.64	Professional		$501.19	$3,548.13	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,584.89 / $3,801.89	Facility		$363.08	$1,584.89	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $3,715.35	Professional		$398.11	$1,096.48	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,412.54 / $2,884.03	Professional		$346.74	$1,412.54	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,691.53	Professional		$2,187.76	$2,290.87	$2,691.53