Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.96 / $2,396.00 / $7,316.00	Facility		$359.96	$2,396.00	$7,316.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,313.67 / $2,501.29 / $2,660.69	Facility	50	$1,313.67	$2,501.29	$2,660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $241.93 / $426.73	Professional		$139.46	$241.93	$426.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $377.10 / $388.74	Professional	50	$342.56	$377.10	$388.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $249.46 / $327.56	Professional		$136.16	$249.46	$327.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.80 / $310.49 / $1,250.13	Facility		$181.80	$310.49	$1,250.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $224.87 / $357.84	Professional		$124.21	$224.87	$357.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $306.89 / $981.23 / $1,273.22	Facility		$306.89	$981.23	$1,273.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $266.04 / $441.47	Professional		$173.81	$266.04	$441.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.29 / $243.22 / $268.27	Facility		$131.29	$243.22	$268.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.12 / $236.12 / $243.84	Facility		$236.12	$236.12	$243.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $277.70 / $450.63	Professional		$159.25	$277.70	$450.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $484.00 / $1,070.40	Facility		$55.00	$484.00	$1,070.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.32 / $2,232.84 / $2,306.53	Professional		$1,138.32	$2,232.84	$2,306.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $272.97 / $445.94	Facility		$146.63	$272.97	$445.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $310.36 / $449.80	Professional		$168.00	$310.36	$449.80
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $484.71 / $486.24 / $512.96	Professional	50	$484.71	$486.24	$512.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $260.45 / $330.99	Professional		$146.41	$260.45	$330.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $269.27 / $447.72	Facility		$147.10	$269.27	$447.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $284.95 / $482.33	Professional		$164.10	$284.95	$482.33
United Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $2,376.00 / $4,764.00	Facility		$663.00	$2,376.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.38 / $285.47 / $428.99	Professional		$218.38	$285.47	$428.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.82 / $253.70 / $359.15	Professional		$225.82	$253.70	$359.15