Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.41 / $1,751.00 / $6,377.50	Facility		$235.41	$1,751.00	$6,377.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $258.54 / $605.80 / $1,772.20	Facility	50	$258.54	$605.80	$1,772.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $172.90 / $341.65	Professional		$61.69	$172.90	$341.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $606.12 / $606.12	Professional	50	$166.68	$606.12	$606.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $106.11 / $208.94	Professional		$70.73	$106.11	$208.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $172.51 / $354.84	Professional		$62.81	$172.51	$354.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $330.12 / $9,388.70	Facility		$67.20	$330.12	$9,388.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $110.16 / $280.00	Professional		$65.62	$110.16	$280.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $111.53 / $111.53	Facility		$57.05	$111.53	$111.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $153.51 / $365.23	Professional		$75.27	$153.51	$365.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $664.40 / $954.09	Facility		$55.00	$664.40	$954.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.09 / $1,882.43 / $3,336.50	Professional		$954.09	$1,882.43	$3,336.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $192.32 / $359.50	Facility		$64.31	$192.32	$359.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $277.91 / $510.75	Professional		$85.36	$277.91	$510.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $362.40 / $436.60	Professional		$27.40	$362.40	$436.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $196.47 / $375.14	Facility		$64.34	$196.47	$375.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $188.10 / $486.06	Professional		$77.66	$188.10	$486.06
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 $168.36 / $224.48 / $381.62	Professional		$168.36	$224.48	$381.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.96 / $207.06 / $293.94	Professional		$184.96	$207.06	$293.94