Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.97 / $2,317.00 / $7,094.00	Facility		$436.97	$2,317.00	$7,094.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.67 / $47.60 / $87.74	Facility	53	$27.67	$47.60	$87.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $278.16 / $501.76	Professional		$138.36	$278.16	$501.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $387.63 / $387.63 / $387.63	Professional		$387.63	$387.63	$387.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.38 / $3,947.00 / $7,993.92	Facility		$2,123.38	$3,947.00	$7,993.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $288.50 / $493.42	Professional		$137.87	$288.50	$493.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $1,464.98 / $2,566.19	Facility		$219.78	$1,464.98	$2,566.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.10 / $2,063.56 / $2,063.56	Facility		$132.10	$2,063.56	$2,063.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $4,558.00	Facility		$2,403.30	$2,403.30	$4,558.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $336.69 / $541.61	Professional		$168.00	$336.69	$541.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $861.10 / $12,000.00 / $12,000.00	Facility		$861.10	$12,000.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $138.36 / $148.02 / $148.02	Facility	53	$138.36	$148.02	$148.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.00 / $2,426.80 / $2,867.70	Professional		$1,568.00	$2,426.80	$2,867.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.81 / $318.42 / $581.22	Facility		$160.81	$318.42	$581.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.17 / $361.86 / $592.13	Professional		$192.17	$361.86	$592.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.40 / $332.40 / $332.40	Professional		$332.40	$332.40	$332.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $322.04 / $611.76	Facility		$161.47	$322.04	$611.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $352.00 / $598.51	Professional		$172.71	$352.00	$598.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.31 / $333.00 / $528.02	Professional		$236.31	$333.00	$528.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.76 / $315.42 / $445.00	Professional		$280.76	$315.42	$445.00