Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $1,266.00 / $6,660.00	Facility		$164.60	$1,266.00	$6,660.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $391.09 / $861.18 / $7,408.00	Facility	50	$391.09	$861.18	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $135.53 / $240.93	Professional		$45.49	$135.53	$240.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,199.64 / $1,199.64 / $1,199.64	Professional	50	$1,199.64	$1,199.64	$1,199.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $79.45 / $147.19	Professional		$44.63	$79.45	$147.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.45 / $70.47 / $116.28	Professional	50	$64.45	$70.47	$116.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $2,673.00 / $4,277.00	Facility		$445.00	$2,673.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $117.65 / $226.33	Professional		$39.61	$117.65	$226.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $214.15 / $229.04	Facility		$24.53	$214.15	$229.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $146.02 / $315.83	Professional		$52.71	$146.02	$315.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $46.04 / $80.00	Facility		$41.68	$46.04	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $152.08 / $271.80	Professional		$55.34	$152.08	$271.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $261.45 / $367.00	Facility		$55.00	$261.45	$367.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $589.45 / $1,475.09 / $1,845.61	Professional		$589.45	$1,475.09	$1,845.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $130.32 / $240.73	Facility		$47.13	$130.32	$240.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $198.48 / $386.03	Professional		$62.23	$198.48	$386.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $99.56 / $297.27	Professional		$31.13	$99.56	$297.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $134.72 / $244.99	Facility		$47.23	$134.72	$244.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $157.35 / $347.20	Professional		$57.14	$157.35	$347.20
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $161.60 / $266.88	Professional		$121.62	$161.60	$266.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $146.02 / $207.16	Professional		$130.31	$146.02	$207.16