Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.00 / $1,207.05 / $5,235.00	Facility		$337.00	$1,207.05	$5,235.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $346.50 / $949.25 / $3,299.27	Facility	50	$346.50	$949.25	$3,299.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $49.78 / $121.44	Professional		$30.72	$49.78	$121.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $38.97 / $58.83	Professional		$27.46	$38.97	$58.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.41 / $589.01 / $1,310.40	Facility		$322.41	$589.01	$1,310.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $61.95 / $123.97	Professional		$30.75	$61.95	$123.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $442.73 / $1,222.85	Facility		$32.18	$442.73	$1,222.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $46.71 / $66.37	Professional		$30.73	$46.71	$66.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $34.63 / $78.14	Facility		$27.09	$34.63	$78.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Facility		$54.50	$54.50	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $63.67 / $133.33	Professional		$36.20	$63.67	$133.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $143.82 / $153.66	Facility		$55.00	$143.82	$153.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $1,650.00 / $1,650.00	Professional		$1,650.00	$1,650.00	$1,650.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $56.19 / $128.22	Facility		$30.91	$56.19	$128.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $93.34 / $170.06	Professional		$39.95	$93.34	$170.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $52.62 / $103.45	Professional		$32.65	$52.62	$103.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $56.79 / $124.99	Facility		$30.91	$56.79	$124.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $76.06 / $176.75	Professional		$37.97	$76.06	$176.75
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $72.70 / $124.38	Professional		$37.04	$72.70	$124.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $76.33 / $107.89	Professional		$67.91	$76.33	$107.89