Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $3,548.13 / $12,022.64	Facility		$87.10	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $154.88	Professional		$41.69	$72.44	$154.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	52	$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $89.13	Professional		$57.54	$69.18	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $138.04 / $295.12	Facility		$61.66	$138.04	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $100.00	Professional		$42.66	$67.61	$100.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $269.15	Facility		$61.66	$158.49	$269.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $87.10	Professional		$33.11	$43.65	$87.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $72.44	Facility		$39.81	$72.44	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $138.04	Professional		$48.98	$81.28	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $630.96	Professional		$537.03	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $2,511.89	Facility		$44.67	$87.10	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $141.25	Professional		$44.67	$74.13	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $54.95	Professional		$32.36	$33.11	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $154.88 / $194.98	Professional		$3.02	$154.88	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $77.62 / $141.25	Facility		$42.66	$77.62	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $138.04	Professional		$50.12	$83.18	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $112.20	Professional		$42.66	$67.61	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $72.44	Professional		$67.61	$72.44	$72.44