Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.08 / $1,719.00 / $6,000.00	Facility		$193.08	$1,719.00	$6,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $26.00 / $55.43 / $112.17	Facility	52	$26.00	$55.43	$112.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $110.85 / $210.74	Professional		$56.51	$110.85	$210.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $67.18 / $198.46	Professional		$60.09	$67.18	$198.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.65 / $981.33 / $2,097.44	Facility		$526.65	$981.33	$2,097.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $105.25 / $183.63	Professional		$56.86	$105.25	$183.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $687.74 / $1,701.95	Facility		$59.49	$687.74	$1,701.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $71.23 / $129.16	Professional		$61.64	$71.23	$129.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $665.43 / $665.43	Facility		$57.66	$665.43	$665.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $110.27 / $110.27	Facility		$110.27	$110.27	$110.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $139.94 / $254.90	Professional		$70.79	$139.94	$254.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.40 / $11,500.00 / $12,000.00	Facility		$360.40	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $233.74 / $243.13 / $243.13	Facility	52	$233.74	$243.13	$243.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.79 / $1,142.11 / $1,242.38	Professional		$568.79	$1,142.11	$1,242.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $141.04 / $246.82	Facility		$63.30	$141.04	$246.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $166.19 / $263.52	Professional		$81.16	$166.19	$263.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $193.30 / $193.30	Professional		$193.30	$193.30	$193.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.63 / $141.65 / $242.35	Facility		$63.63	$141.65	$242.35
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $143.36 / $266.81	Professional		$73.34	$143.36	$266.81
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $157.61 / $254.80	Professional		$117.49	$157.61	$254.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $135.96 / $191.23	Professional		$120.92	$135.96	$191.23