Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.55 / $2,261.11 / $6,472.53	Facility		$380.55	$2,261.11	$6,472.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.22 / $147.08 / $212.36	Facility	52	$51.22	$147.08	$212.36
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.49 / $32.92 / $84.94	Facility	53	$20.49	$32.92	$84.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $263.14 / $419.18	Professional		$99.01	$263.14	$419.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $122.42 / $300.63	Professional		$90.79	$122.42	$300.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.93 / $1,233.89 / $2,656.41	Facility		$665.93	$1,233.89	$2,656.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $209.92 / $377.01	Professional		$95.38	$209.92	$377.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $1,100.44 / $2,656.14	Facility		$402.71	$1,100.44	$2,656.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $134.41 / $271.10	Professional		$60.43	$134.41	$271.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.57 / $727.12 / $727.12	Facility		$91.57	$727.12	$727.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.67 / $722.59 / $1,652.00	Facility		$544.67	$722.59	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $239.17 / $510.66	Professional		$120.08	$239.17	$510.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $611.20	Facility		$55.00	$55.00	$611.20
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $381.48 / $412.53 / $412.53	Facility	52	$381.48	$412.53	$412.53
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $95.37 / $103.13 / $103.13	Facility	53	$95.37	$103.13	$103.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.09 / $2,062.48 / $2,398.94	Professional		$1,072.09	$2,062.48	$2,398.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $262.98 / $479.37	Facility		$103.38	$262.98	$479.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $304.93 / $498.98	Professional		$132.46	$304.93	$498.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $282.80 / $383.83 / $1,138.90	Facility		$282.80	$383.83	$1,138.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $282.07 / $604.79	Professional		$102.02	$282.07	$604.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $265.95 / $548.69	Facility		$103.50	$265.95	$548.69
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $279.94 / $632.01	Professional		$123.30	$279.94	$632.01
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 $247.14 / $335.24 / $527.22	Professional		$247.14	$335.24	$527.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.59 / $276.88 / $376.07	Professional		$236.59	$276.88	$376.07