Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.51 / $2,020.00 / $7,339.00	Facility		$161.51	$2,020.00	$7,339.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,403.70 / $2,944.50 / $4,670.93	Facility	50	$1,403.70	$2,944.50	$4,670.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $147.72 / $259.19	Professional		$69.23	$147.72	$259.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.17 / $256.92 / $659.15	Professional	50	$100.17	$256.92	$659.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $162.15 / $194.54	Professional		$80.98	$162.15	$194.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $118.50 / $229.46 / $279.66	Professional	50	$118.50	$229.46	$279.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.05 / $135.11 / $716.69	Facility		$84.05	$135.11	$716.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $130.37 / $207.46	Professional		$73.59	$130.37	$207.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $1,616.06 / $2,375.71	Facility		$81.48	$1,616.06	$2,375.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $94.80 / $261.01	Professional		$46.50	$94.80	$261.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $126.05 / $126.05	Facility		$72.65	$126.05	$126.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Facility		$141.63	$141.63	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $171.17 / $313.68	Professional		$90.16	$171.17	$313.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $662.39 / $15,000.00	Facility		$55.00	$662.39	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.00 / $2,255.51 / $2,306.53	Professional		$671.00	$2,255.51	$2,306.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.93 / $167.49 / $348.40	Facility		$80.93	$167.49	$348.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $198.93 / $296.00	Professional		$105.13	$198.93	$296.00
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $162.12 / $403.74 / $1,048.50	Professional	50	$162.12	$403.74	$1,048.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $898.34 / $2,499.00 / $5,812.00	Facility		$898.34	$2,499.00	$5,812.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $159.82 / $212.36	Professional		$77.88	$159.82	$212.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.93 / $167.81 / $350.02	Facility		$80.93	$167.81	$350.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $173.13 / $325.56	Professional		$91.78	$173.13	$325.56
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 $132.11 / $174.69 / $282.83	Professional		$132.11	$174.69	$282.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $152.97 / $215.76	Professional		$135.82	$152.97	$215.76