Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,454.71 / $7,079.46	Facility		$562.34	$2,454.71	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $1,584.89 / $1,778.28	Facility	50	$1,318.26	$1,584.89	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $588.84	Professional		$234.42	$323.59	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $302.00	Professional		$120.23	$190.55	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $9,332.54	Facility		$2,570.40	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $489.78	Professional		$234.42	$316.23	$489.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $363.08	Professional		$239.88	$281.84	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $4,570.88 / $4,570.88	Facility		$239.88	$4,570.88	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $645.65	Professional		$269.15	$380.19	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $28,840.32 / $28,840.32	Facility		$8,709.64	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $2,884.03	Professional		$2,398.83	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $3,890.45	Facility		$263.03	$467.74	$3,890.45
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $1,778.28 / $5,011.87	Facility	50	$1,584.89	$1,778.28	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $676.08	Professional		$245.47	$354.81	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $562.34 / $912.01	Professional		$269.15	$562.34	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $363.08 / $660.69	Facility		$251.19	$363.08	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $645.65	Professional		$269.15	$389.05	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $524.81	Professional		$223.87	$323.59	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $380.19	Professional		$354.81	$380.19	$380.19