Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,124.00 / $6,762.00	Facility		$488.00	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $1,054.48 / $1,876.87	Professional		$53.56	$1,054.48	$1,876.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,152.04 / $1,222.00 / $2,254.14	Professional		$1,152.04	$1,222.00	$2,254.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,728.06 / $1,728.06 / $1,728.06	Professional	50	$1,728.06	$1,728.06	$1,728.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.04 / $1,307.29 / $2,735.63	Facility		$776.04	$1,307.29	$2,735.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $968.92 / $1,691.65	Professional		$47.96	$968.92	$1,691.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $909.44 / $1,136.80 / $1,319.71	Facility		$909.44	$1,136.80	$1,319.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $1,267.24 / $2,028.88	Professional		$48.53	$1,267.24	$2,028.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $694.31 / $1,217.58	Facility		$35.43	$694.31	$1,217.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $1,172.23 / $2,178.69	Professional		$50.83	$1,172.23	$2,178.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,277.14	Facility		$55.00	$55.00	$2,277.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.05 / $8,851.89 / $10,631.40	Professional		$4,010.05	$8,851.89	$10,631.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $979.23 / $2,074.61	Facility		$45.01	$979.23	$2,074.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $1,339.27 / $2,069.78	Professional		$46.26	$1,339.27	$2,069.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $1,094.44 / $2,083.12	Professional		$39.35	$1,094.44	$2,083.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $979.23 / $2,104.19	Facility		$45.01	$979.23	$2,104.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $1,222.00 / $2,268.35	Professional		$51.73	$1,222.00	$2,268.35
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,063.00 / $4,554.00	Facility		$597.00	$2,063.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.33 / $1,436.37 / $2,215.79	Professional		$1,083.33	$1,436.37	$2,215.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,039.11 / $1,152.04 / $1,655.09	Professional		$1,039.11	$1,152.04	$1,655.09