Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.55 / $1,550.78 / $5,322.00	Facility		$241.55	$1,550.78	$5,322.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.59 / $29.30 / $161.69	Facility	52	$17.59	$29.30	$161.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $186.49 / $309.99	Professional		$35.17	$186.49	$309.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $39.68 / $258.47	Professional		$32.32	$39.68	$258.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.11 / $373.49 / $851.63	Facility		$216.11	$373.49	$851.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $180.15 / $291.81	Professional		$33.72	$180.15	$291.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $246.40 / $411.07	Facility		$36.47	$246.40	$411.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $55.77 / $337.00	Professional		$37.29	$55.77	$337.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $225.29 / $225.29	Facility		$33.83	$225.29	$225.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $187.61 / $1,652.00	Facility		$141.41	$187.61	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $222.89 / $392.16	Professional		$42.43	$222.89	$392.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $214.45	Facility		$55.00	$55.00	$214.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $135.65 / $141.06 / $141.06	Facility	52	$135.65	$141.06	$141.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.40 / $1,565.68 / $1,857.90	Professional		$804.40	$1,565.68	$1,857.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $168.28 / $353.69	Facility		$35.96	$168.28	$353.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $233.77 / $382.54	Professional		$47.10	$233.77	$382.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $262.26 / $460.30	Professional		$37.45	$262.26	$460.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $175.52 / $385.95	Facility		$36.01	$175.52	$385.95
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $231.45 / $474.76	Professional		$44.11	$231.45	$474.76
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,018.00 / $2,608.00	Facility		$161.00	$1,018.00	$2,608.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $248.52 / $395.73	Professional		$181.88	$248.52	$395.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $211.94 / $288.18	Professional		$181.38	$211.94	$288.18