Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.31 / $1,899.00 / $6,386.00	Facility		$394.31	$1,899.00	$6,386.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $43.71 / $17,772.98 / $17,772.98	Facility	50	$43.71	$17,772.98	$17,772.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.23 / $429.70 / $1,127.71	Professional		$302.23	$429.70	$1,127.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.79 / $332.69 / $581.54	Professional		$282.79	$332.69	$581.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $281.02 / $1,095.48	Facility		$166.47	$281.02	$1,095.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.68 / $347.13 / $504.99	Professional		$275.68	$347.13	$504.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $604.44 / $865.01	Facility		$294.52	$604.44	$865.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $315.50 / $441.60 / $586.83	Professional		$315.50	$441.60	$586.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $248.89 / $476.04 / $476.04	Facility		$248.89	$476.04	$476.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.24 / $212.24 / $219.18	Facility		$212.24	$212.24	$219.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.06 / $432.72 / $1,581.67	Professional		$313.06	$432.72	$1,581.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,470.44	Facility		$55.00	$55.00	$2,470.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,000.04 / $5,265.22 / $5,324.36	Professional		$4,000.04	$5,265.22	$5,324.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $634.49 / $1,499.72	Facility		$304.00	$634.49	$1,499.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.23 / $445.41 / $1,329.81	Professional		$320.23	$445.41	$1,329.81
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $2,127.69 / $2,127.69 / $2,127.69	Professional	50	$2,127.69	$2,127.69	$2,127.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $728.54 / $2,230.00	Facility		$131.35	$728.54	$2,230.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.79 / $355.78 / $603.28	Professional		$282.79	$355.78	$603.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.23 / $639.17 / $1,532.26	Facility		$302.23	$639.17	$1,532.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.95 / $450.13 / $1,574.78	Professional		$324.95	$450.13	$1,574.78
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 $279.19 / $434.14 / $1,354.46	Professional		$279.19	$434.14	$1,354.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $315.50 / $441.60	Professional		$278.00	$315.50	$441.60