Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $26.71 / $549.98	Facility		$16.17	$26.71	$549.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $324.83 / $324.83 / $324.83	Facility	50	$324.83	$324.83	$324.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $25.87 / $44.01	Professional		$16.59	$25.87	$44.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.12 / $48.35 / $91.95	Professional	50	$16.12	$48.35	$91.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $26.67 / $40.63	Professional		$24.53	$26.67	$40.63
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $40.00 / $40.00 / $60.94	Professional	50	$40.00	$40.00	$60.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $22.23 / $83.72	Facility		$12.52	$22.23	$83.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $21.39 / $29.67	Professional		$13.92	$21.39	$29.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $22.97 / $42.67	Professional		$14.67	$22.97	$42.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $25.83 / $25.83	Facility		$15.26	$25.83	$25.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $30.07 / $30.07	Facility		$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $34.69 / $65.43	Professional		$19.23	$34.69	$65.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $83.98	Facility		$55.00	$55.00	$83.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $210.88 / $234.45	Professional		$129.00	$210.88	$234.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $35.96 / $54.81	Facility		$17.97	$35.96	$54.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $31.29 / $49.48	Professional		$21.87	$31.29	$49.48
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $41.19 / $41.19 / $41.54	Professional	50	$41.19	$41.19	$41.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $28.00 / $52.42	Professional		$16.45	$28.00	$52.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $36.39 / $57.05	Facility		$17.97	$36.39	$57.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $36.45 / $65.43	Professional		$19.69	$36.45	$65.43
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 $23.38 / $32.15 / $53.47	Professional		$23.38	$32.15	$53.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $26.67 / $37.27	Professional		$23.46	$26.67	$37.27