Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.30 / $2,000.00 / $7,316.00	Facility		$121.30	$2,000.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $114.71 / $191.66	Professional		$71.73	$114.71	$191.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.86 / $51.80 / $76.31	Professional	52	$34.86	$51.80	$76.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $123.65 / $162.91	Professional		$119.31	$123.65	$162.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $277.82 / $618.61	Facility		$143.28	$277.82	$618.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $122.50 / $169.79	Professional		$75.80	$122.50	$169.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $39.34 / $39.34	Facility		$39.34	$39.34	$39.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $84.29 / $200.99	Professional		$45.80	$84.29	$200.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $110.32 / $123.15	Facility		$71.90	$110.32	$123.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $134.57 / $207.00	Professional		$85.79	$134.57	$207.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $437.43	Facility		$55.00	$55.00	$437.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.64 / $960.24 / $1,116.75	Professional		$616.64	$960.24	$1,116.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.97 / $120.79 / $180.26	Facility		$77.97	$120.79	$180.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $153.41 / $240.05	Professional		$103.10	$153.41	$240.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $121.14 / $154.84	Professional		$74.80	$121.14	$154.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.97 / $121.18 / $183.53	Facility		$77.97	$121.18	$183.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $139.24 / $233.49	Professional		$88.86	$139.24	$233.49
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,376.00	Facility		$161.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $134.25 / $204.19	Professional		$100.69	$134.25	$204.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $123.65 / $173.11	Professional		$110.15	$123.65	$173.11