Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.04 / $2,130.00 / $5,477.00	Facility		$517.04	$2,130.00	$5,477.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $122.44 / $226.34 / $335.50	Facility	52	$122.44	$226.34	$335.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.97 / $92.47 / $1,756.00	Facility	53	$48.97	$92.47	$1,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $457.25 / $890.85	Professional		$246.40	$457.25	$890.85
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $48.97 / $85.56 / $122.86	Professional	53	$48.97	$85.56	$122.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.76 / $242.62 / $544.19	Professional		$206.76	$242.62	$544.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $853.59 / $1,536.46 / $3,277.36	Facility		$853.59	$1,536.46	$3,277.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.31 / $364.34 / $579.79	Professional		$225.31	$364.34	$579.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,170.98 / $3,941.85	Facility		$545.00	$1,170.98	$3,941.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $340.81 / $736.26	Professional		$86.82	$340.81	$736.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $219.96 / $1,019.17 / $1,019.17	Facility		$219.96	$1,019.17	$1,019.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $2,213.00	Facility		$684.87	$908.58	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $491.37 / $859.66	Professional		$289.76	$491.37	$859.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,425.30 / $11,500.00 / $16,394.00	Facility		$1,425.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $909.50 / $982.11 / $982.11	Facility	52	$909.50	$982.11	$982.11
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $227.37 / $245.53 / $245.53	Facility	53	$227.37	$245.53	$245.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.00 / $3,439.23 / $3,762.00	Professional		$1,906.00	$3,439.23	$3,762.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.72 / $489.03 / $944.06	Facility		$257.72	$489.03	$944.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $500.69 / $837.00	Professional		$303.64	$500.69	$837.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $170.40 / $1,996.17 / $2,893.00	Facility		$170.40	$1,996.17	$2,893.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.18 / $461.31 / $909.59	Professional		$242.18	$461.31	$909.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.68 / $492.63 / $944.06	Facility		$257.68	$492.63	$944.06
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.18 / $531.40 / $996.11	Professional		$299.18	$531.40	$996.11
United Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $2,209.00 / $4,668.00	Facility		$663.00	$2,209.00	$4,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.87 / $505.73 / $810.26	Professional		$374.87	$505.73	$810.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.58 / $434.70 / $589.50	Professional		$371.58	$434.70	$589.50