Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $2,449.00 / $8,150.71	Facility		$546.00	$2,449.00	$8,150.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,725.50 / $2,725.50 / $2,725.50	Facility	50	$2,725.50	$2,725.50	$2,725.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $491.24 / $819.46	Professional		$386.06	$491.24	$819.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.75 / $407.54 / $596.58	Professional		$278.75	$407.54	$596.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,455.06 / $4,574.62 / $8,937.17	Facility		$2,455.06	$4,574.62	$8,937.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.99 / $511.54 / $792.05	Professional		$387.99	$511.54	$792.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,845.39 / $7,223.17	Facility		$425.00	$2,845.39	$7,223.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $577.40 / $577.40 / $577.40	Professional		$577.40	$577.40	$577.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $369.89 / $3,703.82 / $3,703.82	Facility		$369.89	$3,703.82	$3,703.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $2,207.78 / $2,207.78	Facility		$2,207.78	$2,207.78	$2,207.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.97 / $618.39 / $973.50	Professional		$454.97	$618.39	$973.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,335.50 / $16,394.00 / $16,394.00	Facility		$3,335.50	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,301.00 / $3,777.68 / $4,476.14	Professional		$3,301.00	$3,777.68	$4,476.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.68 / $567.46 / $1,083.68	Facility		$413.68	$567.46	$1,083.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $531.92 / $675.15 / $924.01	Professional		$531.92	$675.15	$924.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $411.81 / $676.19 / $1,485.61	Professional		$411.81	$676.19	$1,485.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $413.68 / $571.41 / $1,117.53	Facility		$413.68	$571.41	$1,117.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.38 / $644.42 / $1,105.18	Professional		$466.38	$644.42	$1,105.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,293.00 / $7,600.00	Facility		$1,154.00	$3,293.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $595.17 / $926.42	Professional		$433.94	$595.17	$926.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.12 / $496.64 / $691.77	Professional		$438.12	$496.64	$691.77