Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $1,807.96 / $5,906.00	Facility		$424.00	$1,807.96	$5,906.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.00 / $31.00 / $61.46	Facility	53	$17.00	$31.00	$61.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $215.68 / $366.37	Professional		$91.34	$215.68	$366.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $232.89 / $274.19	Professional		$96.26	$232.89	$274.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.29 / $981.33 / $2,118.92	Facility		$556.29	$981.33	$2,118.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $183.59 / $329.72	Professional		$79.50	$183.59	$329.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $96.93 / $836.44 / $4,140.97	Facility		$96.93	$836.44	$4,140.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $197.12 / $411.58	Professional		$110.70	$197.12	$411.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $452.46 / $452.46	Facility		$87.80	$452.46	$452.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $168.56 / $168.56	Facility		$168.56	$168.56	$168.56
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.71 / $33.71 / $33.71	Facility	53	$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $211.68 / $414.02	Professional		$109.54	$211.68	$414.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $489.68	Facility		$55.00	$55.00	$489.68
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $89.92 / $97.94 / $97.94	Facility	53	$89.92	$97.94	$97.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $953.50 / $1,837.52 / $2,134.42	Professional		$953.50	$1,837.52	$2,134.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $228.75 / $445.81	Facility		$95.68	$228.75	$445.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $320.83 / $482.40	Professional		$124.89	$320.83	$482.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $205.13 / $1,137.79 / $3,419.00	Facility		$205.13	$1,137.79	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $272.86 / $547.62	Professional		$109.93	$272.86	$547.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $222.10 / $408.47	Facility		$95.68	$222.10	$408.47
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $33.71 / $33.71 / $33.71	Facility	53	$33.71	$33.71	$33.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $215.14 / $472.74	Professional		$109.54	$215.14	$472.74
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $271.24 / $436.59	Professional		$198.60	$271.24	$436.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $236.37 / $334.87	Professional		$210.64	$236.37	$334.87