Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.61 / $103.15 / $504.83	Facility		$50.61	$103.15	$504.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $74.12 / $122.72	Professional		$51.14	$74.12	$122.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $147.00	Professional	50	$118.88	$118.88	$147.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $72.92 / $77.29	Professional		$63.61	$72.92	$77.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.65 / $196.89	Facility		$43.65	$53.65	$196.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $69.26 / $105.91	Professional		$49.81	$69.26	$105.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $85.50 / $107.83	Professional		$61.44	$85.50	$107.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $215.80 / $215.80	Facility		$49.94	$215.80	$215.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $92.20 / $92.20	Facility		$92.20	$92.20	$92.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $92.49 / $152.13	Professional		$60.14	$92.49	$152.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $276.26	Facility		$55.00	$55.00	$276.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $563.12 / $654.23	Professional		$450.00	$563.12	$654.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.04 / $91.39 / $138.16	Facility		$56.04	$91.39	$138.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $98.40 / $136.24	Professional		$68.05	$98.40	$136.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $81.80 / $142.00	Professional		$53.43	$81.80	$142.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.04 / $92.12 / $138.96	Facility		$56.04	$92.12	$138.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $97.32 / $154.69	Professional		$61.37	$97.32	$154.69
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 $62.65 / $83.25 / $133.13	Professional		$62.65	$83.25	$133.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $72.92 / $102.47	Professional		$64.59	$72.92	$102.47