Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $1,766.13 / $5,538.03	Facility		$569.00	$1,766.13	$5,538.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $876.00 / $1,817.00 / $3,426.50	Facility	50	$876.00	$1,817.00	$3,426.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.64 / $429.50 / $755.40	Professional		$359.64	$429.50	$755.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.70 / $263.86 / $421.39	Professional		$210.70	$263.86	$421.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,477.40 / $4,756.39 / $9,547.44	Facility		$2,477.40	$4,756.39	$9,547.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.14 / $515.04 / $708.99	Professional		$404.14	$515.04	$708.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $2,845.39 / $7,223.17	Facility		$588.72	$2,845.39	$7,223.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $237.38 / $431.60 / $722.77	Professional		$237.38	$431.60	$722.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $418.87 / $5,234.96 / $5,234.96	Facility		$418.87	$5,234.96	$5,234.96
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 $458.89 / $581.91 / $893.09	Professional		$458.89	$581.91	$893.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $16,394.00 / $16,394.00	Facility		$8,723.79	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,301.00 / $3,301.00 / $3,830.40	Professional		$3,301.00	$3,301.00	$3,830.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.39 / $534.48 / $966.40	Facility		$421.39	$534.48	$966.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $334.84 / $651.62 / $781.94	Professional		$334.84	$651.62	$781.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $698.40 / $1,613.92	Professional		$423.14	$698.40	$1,613.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.39 / $547.27 / $1,039.35	Facility		$421.39	$547.27	$1,039.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.89 / $594.97 / $913.29	Professional		$458.89	$594.97	$913.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.28 / $481.37 / $769.80	Professional		$345.28	$481.37	$769.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.76 / $421.39 / $582.66	Professional		$370.76	$421.39	$582.66