Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.52 / $1,839.00 / $5,941.50	Facility		$198.52	$1,839.00	$5,941.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.03 / $95.52 / $141.66	Facility	52	$27.03	$95.52	$141.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.81 / $17.73 / $53.56	Facility	53	$10.81	$17.73	$53.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $137.25 / $302.64	Professional		$54.06	$137.25	$302.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $65.54 / $100.61	Professional		$46.22	$65.54	$100.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $225.43 / $629.76	Facility		$135.26	$225.43	$629.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $152.46 / $238.56	Professional		$51.36	$152.46	$238.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $215.75 / $543.40 / $2,010.49	Facility		$215.75	$543.40	$2,010.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $47.01 / $92.54	Professional		$30.34	$47.01	$92.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $571.76 / $571.76	Facility		$52.51	$571.76	$571.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.99 / $213.58 / $1,652.00	Facility		$160.99	$213.58	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $158.63 / $293.00	Professional		$64.45	$158.63	$293.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $9,102.00 / $11,500.00	Facility		$323.70	$9,102.00	$11,500.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $207.08 / $227.20 / $227.20	Facility	52	$207.08	$227.20	$227.20
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $51.77 / $56.80 / $56.80	Facility	53	$51.77	$56.80	$56.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $697.67 / $1,331.20 / $1,570.43	Professional		$697.67	$1,331.20	$1,570.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.48 / $143.18 / $253.02	Facility		$57.48	$143.18	$253.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $170.00 / $315.30	Professional		$71.90	$170.00	$315.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $440.94 / $1,218.24 / $3,419.00	Facility		$440.94	$1,218.24	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $197.74 / $392.28	Professional		$60.69	$197.74	$392.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.48 / $148.69 / $260.91	Facility		$57.48	$148.69	$260.91
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $170.98 / $365.35	Professional		$67.26	$170.98	$365.35
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,473.00 / $3,260.00	Facility		$371.00	$1,473.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $179.73 / $288.83	Professional		$128.35	$179.73	$288.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $179.76 / $244.34	Professional		$153.77	$179.76	$244.34