Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.22 / $1,938.00 / $6,762.00	Facility		$81.22	$1,938.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $385.53 / $385.53 / $385.53	Facility	50	$385.53	$385.53	$385.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $69.47 / $118.36	Professional		$41.99	$69.47	$118.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.29 / $102.42 / $139.16	Professional	50	$99.29	$102.42	$139.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $71.18 / $77.95	Professional		$66.27	$71.18	$77.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $62.71 / $255.55	Facility		$38.15	$62.71	$255.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $73.90 / $119.72	Professional		$42.08	$73.90	$119.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $77.12 / $89.17	Facility		$45.09	$77.12	$89.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $99.30 / $139.63	Professional		$68.23	$99.30	$139.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $326.95 / $326.95	Facility		$39.22	$326.95	$326.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $79.31 / $79.31	Facility		$79.31	$79.31	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $85.22 / $138.76	Professional		$50.14	$85.22	$138.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $224.91	Facility		$55.00	$55.00	$224.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $385.65 / $699.60	Professional		$336.00	$385.65	$699.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $77.95 / $126.48	Facility		$44.89	$77.95	$126.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $94.86 / $144.35	Professional		$58.45	$94.86	$144.35
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $162.83 / $162.83 / $162.83	Professional	50	$162.83	$162.83	$162.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $81.86 / $157.18	Professional		$43.41	$81.86	$157.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $78.81 / $130.87	Facility		$44.91	$78.81	$130.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $88.06 / $148.38	Professional		$51.16	$88.06	$148.38
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 $58.73 / $79.45 / $129.15	Professional		$58.73	$79.45	$129.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $77.95 / $109.40	Professional		$69.02	$77.95	$109.40