Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $1,791.00 / $6,762.00	Facility		$85.37	$1,791.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $76.97 / $125.37	Professional		$30.09	$76.97	$125.37
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.76 / $35.54 / $50.53	Professional	52	$14.76	$35.54	$50.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $74.83 / $74.83	Professional		$74.83	$74.83	$74.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $76.40 / $320.26	Facility		$45.00	$76.40	$320.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $59.96 / $109.32	Professional		$26.63	$59.96	$109.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $71.16 / $815.15	Facility		$41.40	$71.16	$815.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $89.30 / $150.22	Professional		$59.47	$89.30	$150.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $225.29 / $225.29	Facility		$25.75	$225.29	$225.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $74.28 / $74.28	Facility		$74.28	$74.28	$74.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $83.75 / $151.81	Professional		$34.29	$83.75	$151.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $148.69	Facility		$55.00	$55.00	$148.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $663.12 / $663.12	Professional		$285.88	$663.12	$663.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $78.64 / $161.66	Facility		$31.29	$78.64	$161.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $80.77 / $128.50	Professional		$37.43	$80.77	$128.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.40 / $205.40 / $205.40	Professional		$205.40	$205.40	$205.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $78.72 / $165.79	Facility		$31.29	$78.72	$165.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $86.00 / $155.02	Professional		$34.51	$86.00	$155.02
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $87.86 / $139.08	Professional		$63.38	$87.86	$139.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $70.43 / $99.52	Professional		$62.67	$70.43	$99.52