Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $5,306.00 / $20,472.00	Facility		$1,241.00	$5,306.00	$20,472.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $211.17 / $263.29 / $326.81	Facility	52	$211.17	$263.29	$326.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $84.47 / $105.32 / $130.72	Facility	53	$84.47	$105.32	$130.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.33 / $548.76 / $1,007.68	Professional		$422.33	$548.76	$1,007.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $506.56 / $552.82 / $713.32	Professional		$506.56	$552.82	$713.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,459.41 / $18,925.20 / $40,822.94	Facility		$9,459.41	$18,925.20	$40,822.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.66 / $521.32 / $913.38	Professional		$420.66	$521.32	$913.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13,238.61 / $32,145.00 / $52,259.04	Facility		$13,238.61	$32,145.00	$52,259.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $749.95 / $749.95 / $957.03	Professional		$749.95	$749.95	$957.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $454.99 / $555.92 / $555.92	Facility		$454.99	$555.92	$555.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,475.00 / $19,085.00 / $36,562.00	Facility		$12,475.00	$19,085.00	$36,562.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.52 / $782.00 / $1,131.10	Professional		$605.52	$782.00	$1,131.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,792.22 / $39,670.90 / $39,670.90	Facility		$4,792.22	$39,670.90	$39,670.90
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,018.95 / $30,081.88 / $30,081.88	Facility	52	$1,018.95	$30,081.88	$30,081.88
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $254.74 / $7,520.47 / $7,520.47	Facility	53	$254.74	$7,520.47	$7,520.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,571.80 / $3,571.80 / $4,890.89	Professional		$3,571.80	$3,571.80	$4,890.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $526.58 / $653.63 / $1,198.74	Facility		$526.58	$653.63	$1,198.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $723.68 / $835.02 / $2,250.00	Professional		$723.68	$835.02	$2,250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $825.10 / $1,040.25 / $2,091.71	Professional		$825.10	$1,040.25	$2,091.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.13 / $724.10 / $24,270.00	Facility		$528.13	$724.10	$24,270.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $594.42 / $807.38 / $1,288.21	Professional		$594.42	$807.38	$1,288.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $9,280.00 / $30,675.00	Facility		$2,614.00	$9,280.00	$30,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.61 / $649.51 / $1,030.08	Professional		$483.61	$649.51	$1,030.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.11 / $544.69 / $744.80	Professional		$475.11	$544.69	$744.80