Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.83 / $2,128.00 / $7,316.00	Facility		$344.83	$2,128.00	$7,316.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $997.00 / $2,082.54 / $5,851.50	Facility	50	$997.00	$2,082.54	$5,851.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $174.87 / $313.49	Professional		$72.73	$174.87	$313.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $208.99 / $208.99	Professional		$146.29	$208.99	$208.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $682.12 / $1,274.92 / $2,639.16	Facility		$682.12	$1,274.92	$2,639.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $162.96 / $292.66	Professional		$74.50	$162.96	$292.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $94.85 / $96.36	Professional		$82.48	$94.85	$96.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $519.57 / $519.57	Facility		$75.34	$519.57	$519.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $170.12 / $353.28	Professional		$90.99	$170.12	$353.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $386.01 / $11,500.00 / $12,000.00	Facility		$386.01	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.00 / $1,998.00 / $1,998.00	Professional		$1,998.00	$1,998.00	$1,998.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $207.11 / $341.28	Facility		$82.17	$207.11	$341.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $256.49 / $406.71	Professional		$107.22	$256.49	$406.71
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $189.39 / $189.39 / $189.39	Professional	50	$189.39	$189.39	$189.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $220.28 / $438.88	Professional		$84.31	$220.28	$438.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.23 / $207.23 / $347.73	Facility		$82.23	$207.23	$347.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $176.96 / $393.46	Professional		$93.28	$176.96	$393.46
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 $161.30 / $218.22 / $354.72	Professional		$161.30	$218.22	$354.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.62 / $208.99 / $296.76	Professional		$186.62	$208.99	$296.76