Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $154.65 / $513.21	Facility		$24.69	$154.65	$513.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $222.72 / $445.48 / $1,198.28	Facility	50	$222.72	$445.48	$1,198.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $48.96 / $85.93	Professional		$25.16	$48.96	$85.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.68 / $73.68 / $355.50	Professional	50	$73.68	$73.68	$355.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $58.73 / $70.48	Professional		$55.79	$58.73	$70.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $60.80 / $235.17	Facility		$35.04	$60.80	$235.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $43.01 / $53.30	Professional		$20.88	$43.01	$53.30
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $159.85 / $291.06	Facility		$66.23	$159.85	$291.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $41.78 / $69.06	Professional		$29.00	$41.78	$69.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $180.94 / $180.94	Facility		$23.12	$180.94	$180.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $69.00 / $75.00	Facility		$44.88	$69.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $62.30 / $105.11	Professional		$29.29	$62.30	$105.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $125.59	Facility		$55.00	$55.00	$125.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $238.13 / $455.28 / $528.29	Professional		$238.13	$455.28	$528.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $56.44 / $91.86	Facility		$26.98	$56.44	$91.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $63.66 / $106.98	Professional		$32.79	$63.66	$106.98
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $144.38 / $144.38 / $163.55	Professional	50	$144.38	$144.38	$163.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $58.73 / $107.42	Professional		$24.59	$58.73	$107.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $56.83 / $91.86	Facility		$26.98	$56.83	$91.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $65.28 / $112.98	Professional		$30.79	$65.28	$112.98
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 $45.47 / $62.50 / $97.34	Professional		$45.47	$62.50	$97.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $58.73 / $82.86	Professional		$52.17	$58.73	$82.86