Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $2,449.00 / $7,408.00	Facility		$558.00	$2,449.00	$7,408.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $159.93 / $168.29 / $255.79	Facility	52	$159.93	$168.29	$255.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.97 / $67.31 / $99.22	Facility	53	$63.97	$67.31	$99.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.62 / $387.60 / $620.12	Professional		$318.62	$387.60	$620.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $310.05 / $432.50	Professional		$155.03	$310.05	$432.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $3,422.50 / $6,282.40	Facility		$1,100.00	$3,422.50	$6,282.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.75 / $352.69 / $517.10	Professional		$297.75	$352.69	$517.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $2,586.23 / $6,047.46	Facility		$748.00	$2,586.23	$6,047.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $356.56 / $453.32 / $613.55	Professional		$356.56	$453.32	$613.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $285.89 / $2,426.36 / $2,426.36	Facility		$285.89	$2,426.36	$2,426.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $2,006.70 / $3,125.00	Facility		$1,512.62	$2,006.70	$3,125.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.94 / $414.62 / $678.51	Professional		$317.94	$414.62	$678.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,929.30	Facility		$55.00	$55.00	$7,929.30
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $598.46 / $6,012.68 / $6,012.68	Facility	52	$598.46	$6,012.68	$6,012.68
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $149.61 / $1,503.17 / $1,503.17	Facility	53	$149.61	$1,503.17	$1,503.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.76 / $2,445.36 / $2,708.55	Professional		$2,379.76	$2,445.36	$2,708.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.45 / $365.32 / $744.16	Facility		$311.45	$365.32	$744.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.84 / $485.01 / $589.62	Professional		$371.84	$485.01	$589.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $1,822.00 / $3,419.00	Facility		$1,291.00	$1,822.00	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $380.04 / $634.02	Professional		$292.33	$380.04	$634.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.52 / $376.14 / $835.79	Facility		$311.52	$376.14	$835.79
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $456.24 / $825.03	Professional		$329.51	$456.24	$825.03
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.88 / $380.71 / $594.60	Professional		$276.88	$380.71	$594.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.55 / $316.70 / $427.96	Professional		$270.55	$316.70	$427.96