Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.49 / $2,020.00 / $6,762.00	Facility		$376.49	$2,020.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $938.56 / $938.56 / $938.56	Facility	50	$938.56	$938.56	$938.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $171.53 / $416.85	Professional		$63.37	$171.53	$416.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $64.09 / $121.75	Professional		$38.15	$64.09	$121.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.48 / $901.58 / $1,986.81	Facility		$524.48	$901.58	$1,986.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $185.27 / $475.80	Professional		$59.71	$185.27	$475.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $331.83 / $950.00 / $8,000.00	Facility		$331.83	$950.00	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $81.16 / $129.54	Professional		$68.67	$81.16	$129.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $662.45 / $662.45	Facility		$58.03	$662.45	$662.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $163.41 / $427.91	Professional		$72.97	$163.41	$427.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $458.04 / $567.63	Facility		$55.00	$458.04	$567.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.60 / $2,221.60 / $2,613.53	Professional		$1,152.60	$2,221.60	$2,613.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $179.87 / $439.48	Facility		$63.37	$179.87	$439.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $375.23 / $705.32	Professional		$83.27	$375.23	$705.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $342.70 / $917.00	Professional		$5.00	$342.70	$917.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $179.87 / $459.84	Facility		$63.37	$179.87	$459.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $181.10 / $545.71	Professional		$75.39	$181.10	$545.71
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $248.94 / $410.69	Professional		$154.91	$248.94	$410.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.19 / $285.58 / $407.52	Professional		$256.19	$285.58	$407.52