Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,500.00 / $7,495.00	Facility		$661.00	$2,500.00	$7,495.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,097.50 / $7,954.50 / $11,245.50	Facility	50	$1,097.50	$7,954.50	$11,245.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $706.01 / $1,361.17	Professional		$250.12	$706.01	$1,361.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $638.29 / $638.29 / $638.29	Professional	50	$638.29	$638.29	$638.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $285.68 / $675.32	Professional		$108.88	$285.68	$675.32
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $225.77 / $730.24 / $1,103.65	Professional	50	$225.77	$730.24	$1,103.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,177.00 / $7,727.00	Facility		$1,845.00	$5,177.00	$7,727.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $611.22 / $1,257.26	Professional		$228.04	$611.22	$1,257.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $120.16 / $120.16 / $6,097.71	Facility		$120.16	$120.16	$6,097.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $324.94 / $493.02	Professional		$179.93	$324.94	$493.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $217.95 / $235.12 / $235.12	Facility		$217.95	$235.12	$235.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $561.91 / $1,636.56	Professional		$283.39	$561.91	$1,636.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.92 / $1,705.02 / $8,980.00	Facility		$1,657.92	$1,705.02	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,032.60 / $7,304.82 / $7,523.96	Professional		$3,032.60	$7,304.82	$7,523.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.61 / $702.41 / $1,781.50	Facility		$254.61	$702.41	$1,781.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $961.90 / $1,431.31	Professional		$310.33	$961.90	$1,431.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.49 / $735.77 / $1,536.96	Professional		$234.49	$735.77	$1,536.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.11 / $713.53 / $1,800.13	Facility		$255.11	$713.53	$1,800.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.24 / $662.19 / $1,869.05	Professional		$297.24	$662.19	$1,869.05
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 $713.58 / $1,018.90 / $1,813.36	Professional		$713.58	$1,018.90	$1,813.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $656.76 / $735.77 / $1,041.21	Professional		$656.76	$735.77	$1,041.21