Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.75 / $1,852.00 / $6,730.02	Facility		$429.75	$1,852.00	$6,730.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $874.80 / $1,591.67	Professional		$87.40	$874.80	$1,591.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $95.28 / $922.85	Professional		$82.86	$95.28	$922.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $12,723.00 / $19,343.00	Facility		$1,845.00	$12,723.00	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $350.49 / $1,265.96	Professional		$73.06	$350.49	$1,265.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $85.14 / $2,600.00	Facility		$85.14	$85.14	$2,600.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $103.58 / $1,315.04	Professional		$91.15	$103.58	$1,315.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.94 / $978.34 / $978.34	Facility		$77.94	$978.34	$978.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Facility		$150.18	$150.18	$150.18
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $246.42 / $2,069.87	Professional		$100.91	$246.42	$2,069.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,494.91 / $1,627.60	Facility		$55.00	$1,494.91	$1,627.60
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $246.93 / $255.55 / $255.55	Facility	62	$246.93	$255.55	$255.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,337.04 / $6,712.53 / $7,523.03	Professional		$3,337.04	$6,712.53	$7,523.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.13 / $693.74 / $1,693.32	Facility		$86.13	$693.74	$1,693.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $1,009.27 / $1,600.38	Professional		$109.75	$1,009.27	$1,600.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $344.89 / $1,727.18	Professional		$83.73	$344.89	$1,727.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.13 / $693.74 / $1,700.66	Facility		$86.13	$693.74	$1,700.66
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $1,488.06	Facility	62	$93.86	$93.86	$1,488.06
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $380.94 / $380.94 / $380.94	Facility	80	$380.94	$380.94	$380.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $289.39 / $2,291.28	Professional		$103.55	$289.39	$2,291.28
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $343.94 / $426.25 / $518.63	Professional	80	$343.94	$426.25	$518.63
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $292.35 / $362.31 / $440.84	Professional	AS	$292.35	$362.31	$440.84
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,376.00	Facility		$161.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,016.54 / $1,397.86 / $2,356.00	Professional		$1,016.54	$1,397.86	$2,356.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $734.34 / $858.34 / $1,167.97	Professional		$734.34	$858.34	$1,167.97