Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.44 / $5,164.67 / $13,180.18	Facility		$1,693.44	$5,164.67	$13,180.18
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,699.55 / $1,699.55 / $1,699.55	Facility	22	$1,699.55	$1,699.55	$1,699.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,563.00 / $8,540.34 / $14,009.00	Facility	50	$3,563.00	$8,540.34	$14,009.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.17 / $434.01 / $862.57	Professional		$398.17	$434.01	$862.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $394.53 / $410.20 / $523.17	Professional		$394.53	$410.20	$523.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,631.91 / $6,389.75 / $12,610.23	Facility		$3,631.91	$6,389.75	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.70 / $458.00 / $642.91	Professional		$329.70	$458.00	$642.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,940.05 / $5,601.05 / $12,975.53	Facility		$3,940.05	$5,601.05	$12,975.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $624.77 / $817.02 / $896.06	Professional		$624.77	$817.02	$896.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $359.96 / $4,790.83 / $4,790.83	Facility		$359.96	$4,790.83	$4,790.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.47 / $553.66 / $865.43	Professional		$427.47	$553.66	$865.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,302.50	Facility		$55.00	$55.00	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,991.20 / $3,057.36 / $3,404.25	Professional		$2,991.20	$3,057.36	$3,404.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.25 / $507.62 / $1,131.24	Facility		$398.25	$507.62	$1,131.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $438.36 / $609.72 / $741.23	Professional		$438.36	$609.72	$741.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,069.24 / $4,199.75 / $14,211.49	Facility		$3,069.24	$4,199.75	$14,211.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $521.60 / $521.60 / $521.60	Professional		$521.60	$521.60	$521.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.06 / $501.00 / $1,039.16	Facility		$398.06	$501.00	$1,039.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.17 / $564.83 / $867.78	Professional		$431.17	$564.83	$867.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.88 / $475.59 / $735.00	Professional		$345.88	$475.59	$735.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.12 / $390.48 / $537.64	Professional		$340.12	$390.48	$537.64