Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.53 / $1,861.00 / $6,691.00	Facility		$64.53	$1,861.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $57.59 / $101.36	Professional		$37.59	$57.59	$101.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $62.20 / $82.31	Professional		$61.43	$62.20	$82.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $51.81 / $203.41	Facility		$31.25	$51.81	$203.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $59.10 / $85.23	Professional		$37.75	$59.10	$85.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $35.01 / $109.74	Facility		$20.07	$35.01	$109.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $81.70 / $109.39	Professional		$60.05	$81.70	$109.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $249.66 / $249.66	Facility		$36.07	$249.66	$249.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $70.06 / $70.06	Facility		$70.06	$70.06	$70.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $69.91 / $110.79	Professional		$44.65	$69.91	$110.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $203.40	Facility		$55.00	$55.00	$203.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $593.10 / $593.10	Professional		$298.64	$593.10	$593.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $63.81 / $97.13	Facility		$41.79	$63.81	$97.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $74.59 / $111.51	Professional		$52.14	$74.59	$111.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $79.92 / $153.24	Professional		$46.35	$79.92	$153.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $64.18 / $97.52	Facility		$41.79	$64.18	$97.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $73.86 / $120.18	Professional		$45.97	$73.86	$120.18
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 $47.64 / $63.90 / $100.11	Professional		$47.64	$63.90	$100.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $61.43 / $86.18	Professional		$54.38	$61.43	$86.18