Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.63 / $2,868.00 / $11,086.00	Facility		$670.63	$2,868.00	$11,086.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,954.36 / $12,204.00 / $14,147.79	Facility	50	$1,954.36	$12,204.00	$14,147.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.30 / $670.52 / $1,114.77	Professional		$281.30	$670.52	$1,114.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $430.92 / $1,419.14 / $1,790.00	Professional	50	$430.92	$1,419.14	$1,790.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,450.05 / $9,466.31 / $18,808.88	Facility		$5,450.05	$9,466.31	$18,808.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.39 / $526.58 / $890.66	Professional		$240.39	$526.58	$890.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $5,076.00 / $17,664.15	Facility		$525.00	$5,076.00	$17,664.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $303.88 / $799.32	Professional		$296.39	$303.88	$799.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $266.58 / $6,079.31 / $6,079.31	Facility		$266.58	$6,079.31	$6,079.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $515.84 / $515.84	Facility		$515.84	$515.84	$515.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.42 / $741.31 / $1,496.46	Professional		$334.42	$741.31	$1,496.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,067.54 / $11,500.00 / $26,542.00	Facility		$2,067.54	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.80 / $7,831.06 / $8,263.84	Professional		$2,703.80	$7,831.06	$8,263.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.52 / $691.21 / $1,708.14	Facility		$293.52	$691.21	$1,708.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.24 / $812.35 / $1,288.11	Professional		$382.24	$812.35	$1,288.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.60 / $1,013.60 / $1,013.60	Professional		$1,013.60	$1,013.60	$1,013.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.76 / $691.63 / $1,756.63	Facility		$293.76	$691.63	$1,756.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.52 / $748.21 / $1,544.91	Professional		$342.52	$748.21	$1,544.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $50,448.00	Facility		$2,605.00	$7,333.00	$50,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.54 / $863.37 / $1,555.95	Professional		$623.54	$863.37	$1,555.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $591.05 / $663.87 / $938.33	Professional		$591.05	$663.87	$938.33