Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $1,362.00 / $5,872.00	Facility		$79.50	$1,362.00	$5,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $57.02 / $100.22	Professional		$37.71	$57.02	$100.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $45.73 / $72.05	Professional		$39.64	$45.73	$72.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.89 / $48.46 / $178.87	Facility		$32.89	$48.46	$178.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $54.75 / $77.95	Professional		$38.52	$54.75	$77.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $25.36 / $29.33	Facility		$20.84	$25.36	$29.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $76.34 / $99.10	Professional		$56.63	$76.34	$99.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.99 / $249.66 / $249.66	Facility		$39.99	$249.66	$249.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Facility		$70.38	$70.38	$70.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $69.05 / $113.20	Professional		$45.70	$69.05	$113.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $203.78 / $5,000.00	Facility		$55.00	$203.78	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $301.92 / $503.10 / $632.14	Professional		$301.92	$503.10	$632.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $63.38 / $101.30	Facility		$42.09	$63.38	$101.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $74.59 / $104.51	Professional		$52.14	$74.59	$104.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $62.29 / $117.02	Professional		$40.53	$62.29	$117.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $63.72 / $101.30	Facility		$42.09	$63.72	$101.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $72.55 / $119.67	Professional		$47.02	$72.55	$119.67
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 $49.26 / $65.68 / $103.02	Professional		$49.26	$65.68	$103.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $56.63 / $79.27	Professional		$49.97	$56.63	$79.27