Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.57 / $3,078.00 / $8,780.00	Facility		$571.57	$3,078.00	$8,780.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,999.00 / $3,088.50 / $4,665.00	Facility	50	$2,999.00	$3,088.50	$4,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.00 / $525.05 / $845.87	Professional		$337.00	$525.05	$845.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.36 / $310.36 / $455.86	Professional		$310.36	$310.36	$455.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $434.39 / $1,705.86	Facility		$273.20	$434.39	$1,705.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $459.46 / $786.31	Professional		$301.36	$459.46	$786.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $346.37 / $434.50 / $714.29	Professional		$346.37	$434.50	$714.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $295.56 / $2,389.14 / $2,389.14	Facility		$295.56	$2,389.14	$2,389.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.77 / $334.77 / $334.77	Facility		$334.77	$334.77	$334.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.03 / $655.24 / $1,306.31	Professional		$389.03	$655.24	$1,306.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,555.29	Facility		$55.00	$55.00	$1,555.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $4,387.22 / $4,387.22	Professional		$2,975.00	$4,387.22	$4,387.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $355.90 / $638.10 / $1,362.43	Facility		$355.90	$638.10	$1,362.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.93 / $613.09 / $848.90	Professional		$412.93	$613.09	$848.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.40 / $551.04 / $1,007.17	Professional		$341.40	$551.04	$1,007.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.90 / $643.62 / $1,448.72	Facility		$355.90	$643.62	$1,448.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.03 / $687.04 / $1,322.34	Professional		$397.03	$687.04	$1,322.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.62 / $724.07 / $1,094.55	Professional		$454.62	$724.07	$1,094.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $402.50 / $455.86 / $634.41	Professional		$402.50	$455.86	$634.41