Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $1,181.00 / $5,713.00	Facility		$172.56	$1,181.00	$5,713.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.22 / $51.46 / $97.35	Facility	52	$36.22	$51.46	$97.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $116.89 / $199.16	Professional		$81.54	$116.89	$199.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $138.41 / $178.87	Professional		$100.09	$138.41	$178.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $119.22 / $454.57	Facility		$71.09	$119.22	$454.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $117.16 / $166.14	Professional		$80.93	$117.16	$166.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $74.81 / $1,293.94	Facility		$34.94	$74.81	$1,293.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $139.94 / $217.78	Professional		$118.95	$139.94	$217.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $99.04 / $126.20	Facility		$89.13	$99.04	$126.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $141.40 / $209.72	Professional		$101.87	$141.40	$209.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $495.95	Facility		$55.00	$55.00	$495.95
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $354.86 / $396.76 / $396.76	Facility	52	$354.86	$396.76	$396.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $706.16 / $940.00 / $1,094.40	Professional		$706.16	$940.00	$1,094.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $121.69 / $185.44	Facility		$85.13	$121.69	$185.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $161.13 / $227.65	Professional		$118.48	$161.13	$227.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $127.77 / $143.96	Professional		$97.55	$127.77	$143.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $121.69 / $185.44	Facility		$85.13	$121.69	$185.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $147.97 / $233.42	Professional		$103.18	$147.97	$233.42
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $133.88 / $198.18	Professional		$100.42	$133.88	$198.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $121.69 / $170.37	Professional		$107.94	$121.69	$170.37