Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $2,999.00 / $8,450.00	Facility		$727.00	$2,999.00	$8,450.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,173.75 / $9,426.36 / $9,426.36	Facility	50	$9,173.75	$9,426.36	$9,426.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.83 / $2,192.79 / $4,754.33	Professional		$296.83	$2,192.79	$4,754.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $502.36 / $502.36 / $502.36	Professional	50	$502.36	$502.36	$502.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $370.79 / $2,766.52	Professional		$173.74	$370.79	$2,766.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,119.70 / $15,358.14 / $30,518.12	Facility		$9,119.70	$15,358.14	$30,518.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.37 / $2,807.27 / $4,432.53	Professional		$275.37	$2,807.27	$4,432.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7,281.40 / $12,428.92 / $19,531.16	Facility		$7,281.40	$12,428.92	$19,531.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $395.61 / $512.67	Professional		$317.14	$395.61	$512.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $266.52 / $8,511.73 / $8,511.73	Facility		$266.52	$8,511.73	$8,511.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,194.84 / $10,194.84 / $10,194.84	Facility		$10,194.84	$10,194.84	$10,194.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.07 / $751.47 / $6,411.02	Professional		$346.07	$751.47	$6,411.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,433.90	Facility		$55.00	$55.00	$5,433.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,145.05 / $23,247.31 / $27,425.03	Professional		$12,145.05	$23,247.31	$27,425.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.30 / $1,356.82 / $6,008.05	Facility		$313.30	$1,356.82	$6,008.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $377.61 / $4,078.05 / $5,646.53	Professional		$377.61	$4,078.05	$5,646.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.87 / $1,183.43 / $5,717.67	Professional		$304.87	$1,183.43	$5,717.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.30 / $2,853.31 / $6,822.90	Facility		$313.30	$2,853.31	$6,822.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.07 / $916.70 / $6,759.77	Professional		$346.07	$916.70	$6,759.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $28,862.00	Facility		$4,409.00	$9,027.00	$28,862.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,933.37 / $4,114.00 / $6,363.66	Professional		$2,933.37	$4,114.00	$6,363.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,677.30 / $2,974.76 / $4,258.89	Professional		$2,677.30	$2,974.76	$4,258.89