Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.13 / $983.00 / $5,435.00	Facility		$91.13	$983.00	$5,435.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $21.28 / $108.01 / $150.88	Facility	52	$21.28	$108.01	$150.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $162.83 / $298.11	Professional		$42.55	$162.83	$298.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $70.77 / $177.00	Professional		$38.63	$70.77	$177.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $2,673.00 / $4,277.00	Facility		$527.00	$2,673.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $113.80 / $321.72	Professional		$41.32	$113.80	$321.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $443.80 / $1,698.18	Facility		$317.00	$443.80	$1,698.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $69.00 / $283.77	Professional		$44.73	$69.00	$283.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $135.01 / $135.01	Facility		$37.01	$135.01	$135.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $138.35 / $333.57	Professional		$47.72	$138.35	$333.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $373.86 / $411.84	Facility		$55.00	$373.86	$411.84
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $155.00 / $228.34 / $228.34	Facility	52	$155.00	$228.34	$228.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.14 / $2,111.16 / $2,111.16	Professional		$759.14	$2,111.16	$2,111.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $162.76 / $320.98	Facility		$41.73	$162.76	$320.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $257.35 / $459.99	Professional		$53.82	$257.35	$459.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $158.29 / $400.01	Professional		$43.54	$158.29	$400.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $162.83 / $325.95	Facility		$41.91	$162.83	$325.95
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $142.49 / $440.69	Professional		$49.46	$142.49	$440.69
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 $167.89 / $220.81 / $360.76	Professional		$167.89	$220.81	$360.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $188.61 / $268.81	Professional		$168.95	$188.61	$268.81