Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,778.28 / $6,918.31	Facility		$354.81	$1,778.28	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $602.56 / $831.76 / $11,220.18	Facility	50	$602.56	$831.76	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $141.25	Professional		$33.88	$57.54	$141.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.95 / $114.82 / $275.42	Professional	50	$54.95	$114.82	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $69.18	Professional		$30.90	$51.29	$69.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $74.13 / $97.72	Professional	50	$53.70	$74.13	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $35.48 / $151.36	Facility		$23.99	$35.48	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $67.61	Professional		$30.20	$44.67	$67.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $338.84 / $1,905.46	Facility		$22.91	$338.84	$1,905.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $53.70 / $83.18	Professional		$26.92	$53.70	$83.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $263.03 / $263.03	Facility		$30.90	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $97.72	Professional		$38.90	$60.26	$97.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,318.26	Facility		$54.95	$56.23	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $446.68	Professional		$389.05	$446.68	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $66.07 / $2,187.76	Facility		$36.31	$66.07	$2,187.76
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $602.56 / $758.58 / $2,398.83	Facility	50	$602.56	$758.58	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $104.71	Professional		$33.88	$53.70	$104.71
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $120.23 / $275.42	Professional	50	$67.61	$120.23	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $46.77	Professional		$28.18	$33.11	$46.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $208.93	Professional		$95.50	$117.49	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $97.72	Facility		$35.48	$58.88	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $97.72	Professional		$38.02	$60.26	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $74.13	Professional		$31.62	$46.77	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $57.54	Professional		$53.70	$57.54	$57.54