Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $8,084.00 / $15,686.00	Facility		$983.00	$8,084.00	$15,686.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,792.84 / $16,630.91 / $24,409.50	Facility	50	$4,792.84	$16,630.91	$24,409.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.01 / $737.52 / $1,059.41	Professional		$556.01	$737.52	$1,059.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $544.25 / $544.25 / $761.95	Professional		$544.25	$544.25	$761.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,988.35 / $4,980.59 / $10,256.00	Facility		$2,988.35	$4,980.59	$10,256.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.96 / $718.66 / $1,141.00	Professional		$521.96	$718.66	$1,141.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,400.19 / $5,338.13 / $15,539.43	Facility		$2,400.19	$5,338.13	$15,539.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,139.51 / $1,256.02 / $1,256.02	Professional		$1,139.51	$1,256.02	$1,256.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $511.36 / $3,227.76 / $3,227.76	Facility		$511.36	$3,227.76	$3,227.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $9,252.00	Facility		$2,376.10	$2,376.10	$9,252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.62 / $863.44 / $1,434.00	Professional		$612.62	$863.44	$1,434.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,931.68 / $11,933.00 / $12,131.00	Facility		$3,931.68	$11,933.00	$12,131.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $7,060.12 / $7,060.12	Professional		$5,000.00	$7,060.12	$7,060.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.19 / $930.59 / $1,679.30	Facility		$590.19	$930.59	$1,679.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $725.37 / $976.47 / $1,290.24	Professional		$725.37	$976.47	$1,290.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,499.00 / $2,930.82 / $7,301.90	Facility		$2,499.00	$2,930.82	$7,301.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.40 / $1,074.40 / $1,074.40	Professional		$1,074.40	$1,074.40	$1,074.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.19 / $933.61 / $1,679.30	Facility		$590.19	$933.61	$1,679.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.15 / $896.91 / $1,565.10	Professional		$622.15	$896.91	$1,565.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,358.00 / $15,819.00	Facility		$2,608.00	$7,358.00	$15,819.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.00 / $855.70 / $1,392.81	Professional		$616.00	$855.70	$1,392.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $611.77 / $694.34 / $969.52	Professional		$611.77	$694.34	$969.52