Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $921.00 / $5,332.00	Facility		$72.44	$921.00	$5,332.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $425.50 / $585.19 / $4,476.00	Facility	50	$425.50	$585.19	$4,476.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $52.50 / $96.53	Professional		$34.85	$52.50	$96.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.79 / $115.90 / $376.50	Professional	50	$82.79	$115.90	$376.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $51.62 / $65.78	Professional		$24.52	$51.62	$65.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.56 / $80.29 / $116.87	Professional	50	$70.56	$80.29	$116.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $44.17 / $90.09	Facility		$25.98	$44.17	$90.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $48.47 / $70.29	Professional		$33.63	$48.47	$70.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $325.24 / $2,658.00	Facility		$32.39	$325.24	$2,658.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $44.13 / $82.59	Professional		$24.37	$44.13	$82.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $249.66 / $249.66	Facility		$31.59	$249.66	$249.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $62.54 / $103.24	Professional		$40.56	$62.54	$103.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $179.74 / $15,000.00	Facility		$55.00	$179.74	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $398.32 / $459.60	Professional		$279.00	$398.32	$459.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $57.98 / $90.34	Facility		$37.36	$57.98	$90.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $69.38 / $99.27	Professional		$46.25	$69.38	$99.27
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $27.27 / $91.38 / $160.32	Professional	50	$27.27	$91.38	$160.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $56.80 / $105.69	Professional		$34.81	$56.80	$105.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $58.62 / $92.08	Facility		$37.36	$58.62	$92.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $65.59 / $106.06	Professional		$41.33	$65.59	$106.06
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 $42.55 / $56.04 / $90.08	Professional		$42.55	$56.04	$90.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $51.62 / $72.23	Professional		$45.55	$51.62	$72.23