Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $12,302.69	Facility		$933.25	$3,715.35	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $5,754.40 / $9,772.37	Facility	50	$1,548.82	$5,754.40	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,380.38	Professional		$562.34	$794.33	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $1,023.29 / $2,570.40	Professional	50	$741.31	$1,023.29	$2,570.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $776.25 / $794.33	Professional	50	$741.31	$776.25	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $6,025.60	Facility		$1,659.59	$3,019.95	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,000.00	Professional		$478.63	$660.69	$1,000.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,511.89 / $5,370.32	Facility		$776.25	$2,511.89	$5,370.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,148.15	Professional		$630.96	$776.25	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,230.27 / $1,230.27	Facility		$501.19	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,258.93	Professional		$602.56	$812.83	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $33,884.42 / $33,884.42	Facility		$5,754.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $933.25 / $4,570.88	Facility		$588.84	$933.25	$4,570.88
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $6,760.83 / $9,772.37	Facility	50	$1,548.82	$6,760.83	$9,772.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,348.96	Professional		$588.84	$812.83	$1,348.96
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $1,071.52 / $3,311.31	Professional	50	$741.31	$1,071.52	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $457.09 / $707.95	Professional		$32.36	$457.09	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $851.14	Professional		$537.03	$707.95	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $1,380.38	Facility		$588.84	$831.76	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,258.93	Professional		$588.84	$831.76	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,000.00	Professional		$512.86	$676.08	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $758.58	Professional		$724.44	$758.58	$758.58