Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $1,837.04 / $6,000.00	Facility		$89.41	$1,837.04	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $54.11 / $94.57	Professional		$36.88	$54.11	$94.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $75.77 / $75.77	Professional	50	$73.20	$75.77	$75.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $55.79 / $82.03	Professional		$49.37	$55.79	$82.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $46.00 / $113.83	Facility		$27.54	$46.00	$113.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $51.49 / $73.70	Professional		$35.46	$51.49	$73.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $23.29 / $26.93	Facility		$19.17	$23.29	$26.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $59.93 / $92.48	Professional		$31.05	$59.93	$92.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $249.66 / $249.66	Facility		$32.65	$249.66	$249.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Facility		$65.69	$65.69	$65.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $65.56 / $107.27	Professional		$43.23	$65.56	$107.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $187.25	Facility		$55.00	$55.00	$187.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $280.48 / $418.88 / $480.53	Professional		$280.48	$418.88	$480.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $59.96 / $92.48	Facility		$39.21	$59.96	$92.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $69.55 / $100.73	Professional		$48.36	$69.55	$100.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $59.86 / $111.88	Professional		$36.06	$59.86	$111.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $60.43 / $93.94	Facility		$39.21	$60.43	$93.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $68.93 / $111.59	Professional		$43.23	$68.93	$111.59
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $931.00 / $2,376.00	Facility		$161.00	$931.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $61.23 / $96.15	Professional		$46.19	$61.23	$96.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $54.19 / $75.75	Professional		$47.76	$54.19	$75.75