Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $746.00 / $4,544.50	Facility		$83.01	$746.00	$4,544.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $365.45 / $602.91 / $988.00	Facility	50	$365.45	$602.91	$988.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $54.90 / $102.46	Professional		$35.71	$54.90	$102.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.91 / $107.60 / $340.50	Professional	50	$74.91	$107.60	$340.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $54.79 / $72.31	Professional		$44.48	$54.79	$72.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $82.19 / $97.77 / $123.86	Professional	50	$82.19	$97.77	$123.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $37.15 / $107.08	Facility		$25.81	$37.15	$107.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $49.42 / $73.70	Professional		$35.46	$49.42	$73.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $325.24 / $464.41	Facility		$46.58	$325.24	$464.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $57.53 / $94.32	Professional		$29.09	$57.53	$94.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $255.95 / $255.95	Facility		$32.97	$255.95	$255.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $66.77 / $66.77	Facility		$66.77	$66.77	$66.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $65.09 / $105.69	Professional		$42.74	$65.09	$105.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $189.38	Facility		$55.00	$55.00	$189.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $488.55 / $632.14	Professional		$282.95	$488.55	$632.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $59.81 / $95.02	Facility		$39.54	$59.81	$95.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $71.50 / $101.90	Professional		$49.21	$71.50	$101.90
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $43.53 / $94.50 / $163.98	Professional	50	$43.53	$94.50	$163.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $60.27 / $112.99	Professional		$36.49	$60.27	$112.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $60.03 / $95.88	Facility		$39.54	$60.03	$95.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $67.28 / $111.22	Professional		$43.56	$67.28	$111.22
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $59.12 / $95.50	Professional		$45.04	$59.12	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $54.79 / $76.52	Professional		$48.31	$54.79	$76.52