Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.37 / $2,301.77 / $6,456.60	Facility		$444.37	$2,301.77	$6,456.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,158.09 / $3,581.24 / $6,265.20	Facility	50	$1,158.09	$3,581.24	$6,265.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $398.93 / $631.92	Professional		$179.88	$398.93	$631.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $280.26 / $611.54 / $3,302.78	Professional	50	$280.26	$611.54	$3,302.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $374.96 / $486.06	Professional		$173.69	$374.96	$486.06
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $288.29 / $341.58 / $701.53	Professional	50	$288.29	$341.58	$701.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.03 / $2,664.99 / $5,226.82	Facility		$1,513.03	$2,664.99	$5,226.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.03 / $331.56 / $563.16	Professional		$170.03	$331.56	$563.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $2,151.52 / $3,769.20	Facility		$680.00	$2,151.52	$3,769.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $284.48 / $687.08	Professional		$108.71	$284.48	$687.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.11 / $1,405.66 / $1,405.66	Facility		$170.11	$1,405.66	$1,405.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $326.10 / $326.10	Facility		$326.10	$326.10	$326.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.41 / $420.45 / $731.98	Professional		$224.41	$420.45	$731.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,127.34 / $40,000.00	Facility		$55.00	$1,127.34	$40,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.13 / $3,135.84 / $3,630.45	Professional		$1,624.13	$3,135.84	$3,630.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $402.42 / $705.57	Facility		$186.76	$402.42	$705.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $237.97 / $493.25 / $782.13	Professional		$237.97	$493.25	$782.13
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $614.30 / $614.30 / $1,845.45	Professional	50	$614.30	$614.30	$1,845.45
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 $189.01 / $433.67 / $881.21	Professional		$189.01	$433.67	$881.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.80 / $403.18 / $705.57	Facility		$186.80	$403.18	$705.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.63 / $429.88 / $805.54	Professional		$230.63	$429.88	$805.54
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 $339.87 / $454.63 / $728.16	Professional		$339.87	$454.63	$728.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.88 / $403.18 / $570.59	Professional		$358.88	$403.18	$570.59