Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $1,937.00 / $9,373.89	Facility		$157.24	$1,937.00	$9,373.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.84 / $9.86 / $13.18	Facility	53	$8.84	$9.86	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $49.44 / $79.95	Professional		$44.20	$49.44	$79.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $40.22 / $66.92	Professional		$24.87	$40.22	$66.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $9,564.00 / $14,543.00	Facility		$1,845.00	$9,564.00	$14,543.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $43.65 / $69.55	Professional		$35.07	$43.65	$69.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $43.39 / $43.39	Facility		$43.39	$43.39	$43.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $63.55 / $91.18	Professional		$41.81	$63.55	$91.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $42.60 / $42.60	Facility		$40.42	$42.60	$42.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $62.80 / $95.55	Professional		$47.24	$62.80	$95.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $20.78 / $50.00 / $50.00	Facility	53	$20.78	$50.00	$50.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $176.49 / $543.00 / $543.00	Professional		$176.49	$543.00	$543.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $64.01 / $129.00	Facility		$44.20	$64.01	$129.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $62.60 / $75.11	Professional		$54.25	$62.60	$75.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,095.00 / $7,656.00 / $8,391.00	Facility		$6,095.00	$7,656.00	$8,391.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $50.18 / $156.76	Professional		$40.61	$50.18	$156.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $66.77 / $133.30	Facility		$44.20	$66.77	$133.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $64.30 / $104.83	Professional		$48.10	$64.30	$104.83
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $5,925.00	Facility		$157.00	$950.00	$5,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $51.58 / $82.24	Professional		$39.26	$51.58	$82.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $41.18 / $56.44	Professional		$35.61	$41.18	$56.44