Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.49 / $1,937.00 / $7,252.00	Facility		$279.49	$1,937.00	$7,252.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $238.97 / $693.00 / $11,008.50	Facility	50	$238.97	$693.00	$11,008.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $248.05 / $397.97	Professional		$46.93	$248.05	$397.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $57.04 / $86.63	Professional		$22.53	$57.04	$86.63
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.66 / $87.66 / $87.66	Professional	50	$87.66	$87.66	$87.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $135.72 / $386.96	Professional		$43.87	$135.72	$386.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $1,030.73 / $4,000.00	Facility		$23.10	$1,030.73	$4,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $131.05 / $131.05	Facility		$41.16	$131.05	$131.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $156.50 / $507.72	Professional		$53.60	$156.50	$507.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $367.35 / $445.00	Facility		$55.00	$367.35	$445.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $903.60 / $2,278.06 / $2,278.06	Professional		$903.60	$2,278.06	$2,278.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $208.78 / $477.19	Facility		$46.93	$208.78	$477.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $193.03 / $434.38	Professional		$58.88	$193.03	$434.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $389.08 / $727.60	Professional		$75.08	$389.08	$727.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $209.93 / $480.20	Facility		$46.97	$209.93	$480.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $186.02 / $616.07	Professional		$57.34	$186.02	$616.07
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,287.00	Facility		$161.00	$950.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.94 / $344.24 / $563.51	Professional		$248.94	$344.24	$563.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.32 / $222.33 / $316.75	Professional		$199.32	$222.33	$316.75