Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.84 / $1,856.00 / $5,906.00	Facility		$195.84	$1,856.00	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $175.71 / $311.23	Professional		$71.20	$175.71	$311.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $94.60 / $167.21	Professional		$66.04	$94.60	$167.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $12,723.00 / $19,343.00	Facility		$1,845.00	$12,723.00	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $121.45 / $218.43	Professional		$55.15	$121.45	$218.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $1,902.41 / $8,000.00	Facility		$67.73	$1,902.41	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.53 / $166.59 / $166.59	Facility		$61.53	$166.59	$166.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $119.71	Facility		$119.71	$119.71	$119.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $161.01 / $343.08	Professional		$79.25	$161.01	$343.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $326.27	Facility		$55.00	$55.00	$326.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $654.29 / $1,209.44 / $1,434.98	Professional		$654.29	$1,209.44	$1,434.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $162.72 / $311.18	Facility		$68.95	$162.72	$311.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $184.50 / $295.77	Professional		$87.46	$184.50	$295.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $163.72 / $340.63	Professional		$66.31	$163.72	$340.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.76 / $165.29 / $329.55	Facility		$68.76	$165.29	$329.55
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $65.14 / $65.14 / $65.14	Facility	80	$65.14	$65.14	$65.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $174.07 / $367.58	Professional		$80.44	$174.07	$367.58
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $58.81 / $69.33 / $83.03	Professional	80	$58.81	$69.33	$83.03
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $49.99 / $58.93 / $70.58	Professional	AS	$49.99	$58.93	$70.58
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,081.00 / $2,827.00	Facility		$161.00	$1,081.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $223.28 / $371.39	Professional		$165.04	$223.28	$371.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $157.74 / $222.05	Professional		$140.24	$157.74	$222.05