Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $1,122.02 / $2,137.96	Professional		$53.70	$1,122.02	$2,137.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional	50	$6,025.60	$6,025.60	$6,025.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,288.25	Professional		$1,174.90	$1,230.27	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $2,754.23	Facility		$812.83	$1,348.96	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $912.01 / $1,584.89	Professional		$35.48	$912.01	$1,584.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,238.72	Professional		$1,318.26	$1,659.59	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $691.83 / $1,230.27	Facility		$35.48	$691.83	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $1,174.90 / $2,238.72	Professional		$51.29	$1,174.90	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $10,715.19	Professional		$8,912.51	$10,715.19	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $1,412.54 / $4,073.80	Facility		$47.86	$1,412.54	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $1,122.02 / $2,187.76	Professional		$52.48	$1,122.02	$2,187.76
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional	50	$6,025.60	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $954.99 / $2,511.89	Professional		$37.15	$954.99	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $1,096.48 / $2,187.76	Facility		$43.65	$1,096.48	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $1,174.90 / $2,238.72	Professional		$51.29	$1,174.90	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $758.58 / $1,862.09	Professional		$50.12	$758.58	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,258.93	Professional		$1,202.26	$1,258.93	$1,258.93