Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $2,620.00 / $8,883.00	Facility		$70.59	$2,620.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $69.81 / $118.90	Professional		$41.85	$69.81	$118.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.93 / $32.78 / $45.22	Professional	52	$20.93	$32.78	$45.22
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.36 / $13.11 / $18.09	Professional	53	$8.36	$13.11	$18.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $131.33 / $295.25	Facility		$59.89	$131.33	$295.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $69.31 / $109.31	Professional		$42.39	$69.31	$109.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $144.19 / $252.88	Facility		$61.58	$144.19	$252.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $87.13 / $131.83	Professional		$43.46	$87.13	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $72.80 / $72.80	Facility		$39.79	$72.80	$72.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $55.25 / $55.25	Facility		$55.25	$55.25	$55.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $81.90 / $138.36	Professional		$49.97	$81.90	$138.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $220.78	Facility		$55.00	$55.00	$220.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.24 / $533.04 / $626.85	Professional		$330.24	$533.04	$626.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $78.95 / $136.76	Facility		$44.57	$78.95	$136.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $93.77 / $129.83	Professional		$58.03	$93.77	$129.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $109.80 / $109.80	Professional		$109.80	$109.80	$109.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $79.67 / $139.99	Facility		$44.57	$79.67	$139.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $84.10 / $145.35	Professional		$50.54	$84.10	$145.35
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 $57.74 / $77.81 / $123.17	Professional		$57.74	$77.81	$123.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $69.70 / $97.36	Professional		$61.56	$69.70	$97.36