Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $1,300.00 / $6,000.00	Facility		$81.06	$1,300.00	$6,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $518.00 / $824.44 / $2,525.34	Facility	50	$518.00	$824.44	$2,525.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $50.21 / $87.60	Professional		$33.22	$50.21	$87.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.77 / $106.32 / $301.50	Professional	50	$75.77	$106.32	$301.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $51.15 / $64.61	Professional		$30.96	$51.15	$64.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $76.73 / $96.28 / $137.00	Professional	50	$76.73	$96.28	$137.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $36.35 / $123.25	Facility		$23.04	$36.35	$123.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $45.03 / $67.31	Professional		$32.10	$45.03	$67.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $26.33 / $408.24	Facility		$17.43	$26.33	$408.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $38.03 / $73.84	Professional		$21.16	$38.03	$73.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $257.64 / $257.64	Facility		$30.92	$257.64	$257.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $60.85 / $60.85	Facility		$60.85	$60.85	$60.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $59.90 / $94.32	Professional		$38.89	$59.90	$94.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $174.71	Facility		$55.00	$55.00	$174.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $390.80 / $451.58	Professional		$263.00	$390.80	$451.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $55.36 / $85.87	Facility		$36.29	$55.36	$85.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $64.37 / $93.53	Professional		$43.26	$64.37	$93.53
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $50.01 / $113.61 / $138.66	Professional	50	$50.01	$113.61	$138.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $55.80 / $104.66	Professional		$33.85	$55.80	$104.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $55.67 / $87.92	Facility		$36.29	$55.67	$87.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $61.92 / $98.98	Professional		$39.60	$61.92	$98.98
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 $40.59 / $54.14 / $86.97	Professional		$40.59	$54.14	$86.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $50.66 / $70.90	Professional		$44.72	$50.66	$70.90