Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,317.00 / $8,255.89	Facility		$488.00	$2,317.00	$8,255.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $158.84 / $249.25	Professional		$72.56	$158.84	$249.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.16 / $562.28 / $1,571.75	Professional	50	$106.16	$562.28	$1,571.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $147.77 / $227.33	Professional		$32.70	$147.77	$227.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.45 / $3,292.82 / $6,330.57	Facility		$173.45	$3,292.82	$6,330.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $135.22 / $243.45	Professional		$66.98	$135.22	$243.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $203.67 / $2,103.33 / $4,837.34	Facility		$203.67	$2,103.33	$4,837.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $148.18 / $240.64	Professional		$86.11	$148.18	$240.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $2,054.14 / $2,054.14	Facility		$61.77	$2,054.14	$2,054.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $184.79 / $308.33	Professional		$86.91	$184.79	$308.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $507.90	Facility		$55.00	$55.00	$507.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.92 / $1,262.16 / $1,459.58	Professional		$616.92	$1,262.16	$1,459.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $170.50 / $335.21	Facility		$72.56	$170.50	$335.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $186.09 / $304.51	Professional		$93.35	$186.09	$304.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $170.82 / $371.37	Facility		$72.56	$170.82	$371.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $194.57 / $324.77	Professional		$89.00	$194.57	$324.77
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $193.06 / $303.33	Professional		$142.62	$193.06	$303.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $162.38 / $229.50	Professional		$144.38	$162.38	$229.50