Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.32 / $1,937.00 / $6,762.00	Facility		$285.32	$1,937.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,607.04 / $7,607.04 / $11,453.79	Facility	50	$7,607.04	$7,607.04	$11,453.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.36 / $345.01 / $625.99	Professional		$227.36	$345.01	$625.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $639.87 / $681.48	Professional	50	$639.87	$639.87	$681.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $235.13 / $434.31	Professional		$200.67	$235.13	$434.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $356.65 / $356.65 / $356.65	Professional	50	$356.65	$356.65	$356.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.77 / $389.33 / $1,567.58	Facility		$228.77	$389.33	$1,567.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $228.04 / $345.76	Professional		$170.52	$228.04	$345.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $268.69 / $604.44 / $839.70	Facility		$268.69	$604.44	$839.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $234.66 / $316.79 / $424.47	Professional		$234.66	$316.79	$424.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.90 / $485.76 / $485.76	Facility		$183.90	$485.76	$485.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.80 / $178.80 / $184.64	Facility		$178.80	$178.80	$184.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.13 / $545.10 / $857.42	Professional		$225.13	$545.10	$857.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,716.40	Facility		$55.00	$55.00	$1,716.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,946.00 / $2,946.00 / $2,946.00	Professional		$2,946.00	$2,946.00	$2,946.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.42 / $439.34 / $872.83	Facility		$221.42	$439.34	$872.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.59 / $332.26 / $683.85	Professional		$243.59	$332.26	$683.85
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,175.33 / $1,175.33 / $1,175.33	Professional	50	$1,175.33	$1,175.33	$1,175.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.81 / $270.00 / $438.22	Professional		$211.81	$270.00	$438.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.03 / $429.82 / $872.85	Facility		$219.03	$429.82	$872.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.50 / $543.59 / $829.73	Professional		$236.50	$543.59	$829.73
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,287.00	Facility		$371.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.28 / $527.80 / $786.11	Professional		$404.28	$527.80	$786.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.32 / $225.13 / $316.79	Professional		$199.32	$225.13	$316.79