Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,344.23 / $7,244.36	Facility		$575.44	$2,344.23	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $3,548.13 / $7,413.10	Facility	50	$891.25	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $1,000.00	Professional		$186.21	$407.38	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $645.65 / $3,090.30	Professional	50	$275.42	$645.65	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $478.63	Professional		$169.82	$363.08	$478.63
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $389.05 / $645.65	Professional	50	$257.04	$389.05	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $5,128.61	Facility		$1,548.82	$2,691.53	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.59 / $549.54	Professional		$162.18	$323.59	$549.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $4,365.16	Facility		$1,479.11	$2,454.71	$4,365.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $741.31	Professional		$123.03	$275.42	$741.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,412.54 / $1,412.54	Facility		$169.82	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $758.58	Professional		$223.87	$426.58	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $39,810.72 / $39,810.72	Facility		$5,248.07	$39,810.72	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $3,630.78	Professional		$3,162.28	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $537.03 / $3,715.35	Facility		$190.55	$537.03	$3,715.35
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.52 / $3,467.37 / $7,413.10	Facility	50	$1,071.52	$3,467.37	$7,413.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $831.76	Professional		$186.21	$398.11	$831.76
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $630.96 / $3,311.31	Professional	50	$275.42	$630.96	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $5,623.41	Facility		$3,388.44	$5,370.32	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,698.24	Professional		$512.86	$645.65	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $812.83	Facility		$186.21	$436.52	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $776.25	Professional		$213.80	$416.87	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $645.65	Professional		$194.98	$363.08	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $467.74	Professional		$446.68	$467.74	$467.74