Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.99 / $2,816.00 / $8,883.00	Facility		$482.99	$2,816.00	$8,883.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,310.00 / $7,080.53 / $9,135.58	Facility	50	$2,310.00	$7,080.53	$9,135.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $445.93 / $711.77	Professional		$274.89	$445.93	$711.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.71 / $219.87 / $297.43	Professional	52	$137.71	$219.87	$297.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.48 / $251.48 / $1,172.43	Professional		$251.48	$251.48	$1,172.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.46 / $399.18 / $1,668.64	Facility		$245.46	$399.18	$1,668.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.28 / $391.70 / $656.29	Professional		$246.28	$391.70	$656.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $332.26 / $1,159.28 / $5,461.00	Facility		$332.26	$1,159.28	$5,461.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $293.70 / $455.91 / $660.16	Professional		$293.70	$455.91	$660.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $240.47 / $2,107.91 / $2,107.91	Facility		$240.47	$2,107.91	$2,107.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.08 / $298.08 / $298.08	Facility		$298.08	$298.08	$298.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.57 / $541.28 / $1,105.97	Professional		$317.57	$541.28	$1,105.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,265.34	Facility		$55.00	$55.00	$1,265.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,434.00 / $3,589.98 / $3,589.98	Professional		$2,434.00	$3,589.98	$3,589.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.85 / $530.66 / $1,142.38	Facility		$290.85	$530.66	$1,142.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $334.72 / $516.79 / $715.57	Professional		$334.72	$516.79	$715.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.63 / $453.89 / $847.33	Professional		$276.63	$453.89	$847.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.85 / $538.84 / $1,195.74	Facility		$290.85	$538.84	$1,195.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $578.36 / $1,129.43	Professional		$324.00	$578.36	$1,129.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,231.00 / $10,476.00	Facility		$1,693.00	$5,231.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.15 / $608.71 / $925.45	Professional		$395.15	$608.71	$925.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.29 / $383.83 / $535.19	Professional		$339.29	$383.83	$535.19