Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.92 / $2,017.00 / $5,906.00	Facility		$319.92	$2,017.00	$5,906.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,079.30 / $2,516.80 / $3,366.00	Facility	50	$2,079.30	$2,516.80	$3,366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $237.65 / $373.21	Professional		$114.88	$237.65	$373.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $391.38 / $1,332.00	Professional	50	$171.84	$391.38	$1,332.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $117.98 / $160.97	Professional		$117.98	$117.98	$160.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.24 / $1,274.92 / $2,639.16	Facility		$690.24	$1,274.92	$2,639.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $208.98 / $337.82	Professional		$109.73	$208.98	$337.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $532.79 / $980.90 / $4,100.00	Facility		$532.79	$980.90	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $258.79 / $427.34	Professional		$145.88	$258.79	$427.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.68 / $783.01 / $783.01	Facility		$114.68	$783.01	$783.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $221.83 / $221.83	Facility		$221.83	$221.83	$221.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $251.79 / $433.25	Professional		$143.83	$251.79	$433.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $593.41 / $11,500.00 / $32,000.00	Facility		$593.41	$11,500.00	$32,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $1,990.16 / $2,209.19	Professional		$1,262.00	$1,990.16	$2,209.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $257.18 / $489.01	Facility		$126.72	$257.18	$489.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $300.50 / $461.12	Professional		$161.66	$300.50	$461.12
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $363.47 / $363.47 / $363.47	Professional	50	$363.47	$363.47	$363.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $262.70 / $514.78	Professional		$129.81	$262.70	$514.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.82 / $258.39 / $492.99	Facility		$126.82	$258.39	$492.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $262.10 / $484.77	Professional		$144.07	$262.10	$484.77
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $271.97 / $456.42	Professional		$196.51	$271.97	$456.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.64 / $246.09 / $347.48	Professional		$218.64	$246.09	$347.48