Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,469.89 / $5,906.00	Facility		$569.00	$2,469.89	$5,906.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $66.58 / $190.39 / $273.29	Facility	52	$66.58	$190.39	$273.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.63 / $42.73 / $109.32	Facility	53	$26.63	$42.73	$109.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $275.83 / $696.50	Professional		$85.57	$275.83	$696.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $129.60 / $341.61	Professional		$66.31	$129.60	$341.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $1,233.89 / $2,664.27	Facility		$707.00	$1,233.89	$2,664.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $268.98 / $483.08	Professional		$124.11	$268.98	$483.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $805.42 / $2,297.12	Facility		$301.00	$805.42	$2,297.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $172.20 / $515.66	Professional		$77.01	$172.20	$515.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $542.02 / $542.02	Facility		$121.44	$542.02	$542.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.67 / $722.59 / $2,213.00	Facility		$544.67	$722.59	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $341.61 / $596.12	Professional		$158.36	$341.61	$596.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $934.14 / $11,500.00 / $16,394.00	Facility		$934.14	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $496.53 / $539.10 / $539.10	Facility	52	$496.53	$539.10	$539.10
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $124.13 / $134.78 / $134.78	Facility	53	$124.13	$134.78	$134.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.00 / $2,649.44 / $3,098.78	Professional		$1,406.00	$2,649.44	$3,098.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.05 / $360.87 / $645.29	Facility		$140.05	$360.87	$645.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $246.67 / $620.79	Professional		$134.35	$246.67	$620.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $357.80 / $725.68	Professional		$132.15	$357.80	$725.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.05 / $360.20 / $612.17	Facility		$140.05	$360.20	$612.17
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.34 / $365.33 / $751.70	Professional		$164.34	$365.33	$751.70
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $403.87 / $639.04	Professional		$299.27	$403.87	$639.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $356.50 / $484.23	Professional		$304.77	$356.50	$484.23