Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.38 / $1,791.00 / $6,691.00	Facility		$119.38	$1,791.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $99.42 / $157.41	Professional		$46.01	$99.42	$157.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $163.58 / $830.88	Professional	50	$54.53	$163.58	$830.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $159.19 / $160.06	Professional		$81.26	$159.19	$160.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $111.70 / $426.16	Facility		$71.15	$111.70	$426.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $91.48 / $150.82	Professional		$46.41	$91.48	$150.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $299.06 / $650.95	Facility		$47.70	$299.06	$650.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $41.87 / $125.12	Professional		$26.84	$41.87	$125.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $365.64 / $365.64	Facility		$46.16	$365.64	$365.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $87.90	Facility		$87.90	$87.90	$87.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $121.94 / $208.54	Professional		$57.80	$121.94	$208.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $254.27	Facility		$55.00	$55.00	$254.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $1,030.00 / $1,030.00	Professional		$804.00	$1,030.00	$1,030.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $110.59 / $189.79	Facility		$51.71	$110.59	$189.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $125.36 / $196.22	Professional		$66.01	$125.36	$196.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $113.27 / $218.89	Professional		$52.31	$113.27	$218.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $110.59 / $189.07	Facility		$51.71	$110.59	$189.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $126.16 / $219.73	Professional		$60.39	$126.16	$219.73
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $121.70 / $194.96	Professional		$88.58	$121.70	$194.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $104.27 / $147.12	Professional		$93.04	$104.27	$147.12