Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $253.89 / $537.25	Facility		$32.77	$253.89	$537.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $222.72 / $434.00 / $698.51	Facility	50	$222.72	$434.00	$698.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $66.34 / $118.82	Professional		$25.05	$66.34	$118.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $137.72	Professional	50	$43.08	$137.72	$137.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $80.80 / $80.84	Professional		$80.25	$80.80	$80.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.92 / $97.92 / $121.27	Professional	50	$97.92	$97.92	$121.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $98.67 / $376.42	Facility		$57.62	$98.67	$376.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $60.75 / $71.48	Professional		$21.15	$60.75	$71.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $164.80 / $321.60	Facility		$103.50	$164.80	$321.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $48.91 / $121.62	Professional		$44.46	$48.91	$121.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $180.94 / $180.94	Facility		$22.97	$180.94	$180.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $69.00 / $75.00	Facility		$45.65	$69.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $82.92 / $144.22	Professional		$26.23	$82.92	$144.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $157.82	Facility		$55.00	$55.00	$157.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $633.67 / $724.80	Professional		$320.45	$633.67	$724.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $72.15 / $137.87	Facility		$25.55	$72.15	$137.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $72.03 / $150.69	Professional		$33.22	$72.03	$150.69
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $151.49 / $151.49 / $220.73	Professional	50	$151.49	$151.49	$220.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $64.67 / $95.90	Professional		$23.90	$64.67	$95.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $72.15 / $140.50	Facility		$25.71	$72.15	$140.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $84.04 / $153.04	Professional		$26.83	$84.04	$153.04
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $943.00 / $2,376.00	Facility		$161.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $87.12 / $149.88	Professional		$56.98	$87.12	$149.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $80.84 / $114.82	Professional		$72.05	$80.84	$114.82