Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $1,140.00 / $5,906.00	Facility		$64.16	$1,140.00	$5,906.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $316.33 / $316.33 / $353.20	Facility	50	$316.33	$316.33	$353.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $49.84 / $90.91	Professional		$33.60	$49.84	$90.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $49.14 / $62.51	Professional		$41.77	$49.14	$62.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $45.48 / $168.88	Facility		$27.29	$45.48	$168.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $48.63 / $70.00	Professional		$33.92	$48.63	$70.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $21.74 / $25.13	Facility		$18.43	$21.74	$25.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $42.77 / $81.08	Professional		$29.29	$42.77	$81.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $247.14 / $247.14	Facility		$35.07	$247.14	$247.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Facility		$61.88	$61.88	$61.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $60.80 / $98.97	Professional		$40.28	$60.80	$98.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $179.12 / $2,500.00	Facility		$55.00	$179.12	$2,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $564.28 / $632.14	Professional		$295.00	$564.28	$632.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $55.65 / $88.80	Facility		$37.02	$55.65	$88.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $65.54 / $90.64	Professional		$44.96	$65.54	$90.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $54.05 / $101.50	Professional		$35.71	$54.05	$101.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $55.97 / $89.15	Facility		$37.02	$55.97	$89.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $64.20 / $104.54	Professional		$41.37	$64.20	$104.54
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 $43.04 / $57.85 / $90.27	Professional		$43.04	$57.85	$90.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $49.14 / $68.76	Professional		$43.34	$49.14	$68.76