Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,295.00 / $6,940.00	Facility		$632.00	$2,295.00	$6,940.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,182.00 / $1,182.00 / $1,182.00	Facility	50	$1,182.00	$1,182.00	$1,182.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $993.69 / $1,698.89	Professional		$229.97	$993.69	$1,698.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $219.81 / $369.62	Professional		$127.52	$219.81	$369.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,877.00 / $8,771.00	Facility		$1,845.00	$5,877.00	$8,771.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $737.22 / $1,691.31	Professional		$210.02	$737.22	$1,691.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $225.39 / $2,061.44 / $7,332.03	Facility		$225.39	$2,061.44	$7,332.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $148.94 / $203.93	Facility		$148.94	$148.94	$203.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $586.85 / $2,088.15	Professional		$265.00	$586.85	$2,088.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,182.75 / $2,182.75 / $8,980.00	Facility		$2,182.75	$2,182.75	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,432.21 / $8,438.87 / $9,989.85	Professional		$4,432.21	$8,438.87	$9,989.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.30 / $652.75 / $1,997.10	Facility		$237.30	$652.75	$1,997.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.41 / $1,188.84 / $2,128.03	Professional		$291.41	$1,188.84	$2,128.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $835.67 / $2,197.08	Professional		$219.81	$835.67	$2,197.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.39 / $714.60 / $2,032.02	Facility		$237.39	$714.60	$2,032.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $743.02 / $2,629.22	Professional		$280.39	$743.02	$2,629.22
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 $1,033.70 / $1,416.39 / $2,346.61	Professional		$1,033.70	$1,416.39	$2,346.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $976.46 / $1,089.15 / $1,551.45	Professional		$976.46	$1,089.15	$1,551.45