Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.14 / $2,020.00 / $6,762.00	Facility		$252.14	$2,020.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,254.74 / $1,254.74 / $1,468.91	Facility	50	$1,254.74	$1,254.74	$1,468.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $156.93 / $271.26	Professional		$78.92	$156.93	$271.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $267.48 / $402.68	Professional	50	$267.48	$267.48	$402.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $187.10 / $220.95	Professional		$168.65	$187.10	$220.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.75 / $275.75 / $275.75	Professional	50	$275.75	$275.75	$275.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.13 / $193.88 / $765.88	Facility		$103.13	$193.88	$765.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $170.43 / $273.45	Professional		$69.00	$170.43	$273.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $123.87 / $892.30	Facility		$36.09	$123.87	$892.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $161.12 / $303.32	Professional		$81.34	$161.12	$303.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.76 / $189.87 / $189.87	Facility		$65.76	$189.87	$189.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.22 / $192.22 / $192.22	Facility		$192.22	$192.22	$192.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $202.51 / $307.42	Professional		$88.84	$202.51	$307.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $351.60 / $9,102.00 / $11,500.00	Facility		$351.60	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.70 / $1,412.32 / $1,675.13	Professional		$759.70	$1,412.32	$1,675.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.18 / $191.51 / $342.60	Facility		$81.18	$191.51	$342.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $226.38 / $335.67	Professional		$93.77	$226.38	$335.67
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $342.10 / $342.10 / $342.41	Professional	50	$342.10	$342.10	$342.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $191.37 / $367.66	Professional		$71.98	$191.37	$367.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $193.02 / $363.61	Facility		$81.67	$193.02	$363.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $210.40 / $342.41	Professional		$90.59	$210.40	$342.41
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $201.74 / $325.41	Professional		$148.29	$201.74	$325.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $183.83 / $259.38	Professional		$163.69	$183.83	$259.38