Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.11 / $2,317.00 / $7,339.00	Facility		$440.11	$2,317.00	$7,339.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,419.75 / $3,396.90 / $7,989.13	Facility	50	$1,419.75	$3,396.90	$7,989.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $395.24 / $628.84	Professional		$179.72	$395.24	$628.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.20 / $575.45 / $2,780.00	Professional	50	$315.20	$575.45	$2,780.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $211.32 / $486.82	Professional		$86.83	$211.32	$486.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $419.80 / $419.80 / $635.70	Professional	50	$419.80	$419.80	$635.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $2,664.99 / $5,278.40	Facility		$1,495.83	$2,664.99	$5,278.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $319.64 / $558.05	Professional		$171.93	$319.64	$558.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,711.12 / $2,609.02 / $7,292.55	Facility		$1,711.12	$2,609.02	$7,292.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $261.79 / $695.44	Professional		$130.90	$261.79	$695.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.78 / $1,391.46 / $1,391.46	Facility		$169.78	$1,391.46	$1,391.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $326.12 / $326.12	Facility		$326.12	$326.12	$326.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.01 / $428.80 / $744.70	Professional		$224.01	$428.80	$744.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,125.34 / $40,000.00	Facility		$55.00	$1,125.34	$40,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,611.81 / $3,108.48 / $3,600.53	Professional		$1,611.81	$3,108.48	$3,600.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.67 / $399.81 / $678.23	Facility		$186.67	$399.81	$678.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.63 / $415.22 / $771.75	Professional		$242.63	$415.22	$771.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,297.23 / $2,499.00 / $7,195.35	Facility		$1,297.23	$2,499.00	$7,195.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $425.25 / $869.52	Professional		$188.58	$425.25	$869.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.73 / $403.61 / $699.67	Facility		$186.73	$403.61	$699.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.64 / $433.26 / $799.63	Professional		$232.64	$433.26	$799.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.73 / $465.15 / $749.48	Professional		$344.73	$465.15	$749.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.85 / $399.81 / $565.69	Professional		$355.85	$399.81	$565.69