Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $2,128.00 / $6,762.00	Facility		$35.10	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $37.58 / $190.93	Professional		$23.09	$37.58	$190.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $125.21	Professional	50	$125.21	$125.21	$125.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $28.99 / $31.44	Professional		$28.99	$28.99	$31.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.24 / $1,274.92 / $2,639.16	Facility		$690.24	$1,274.92	$2,639.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $30.67 / $50.54	Professional		$22.16	$30.67	$50.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $385.93 / $884.19 / $2,901.48	Facility		$385.93	$884.19	$2,901.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $13.92 / $247.86	Professional		$11.83	$13.92	$247.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $1,628.76 / $1,628.76	Facility		$21.47	$1,628.76	$1,628.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Facility		$41.84	$41.84	$41.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $53.96 / $301.47	Professional		$28.17	$53.96	$301.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $294.42 / $11,500.00 / $12,000.00	Facility		$294.42	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $1,928.00 / $1,928.00	Professional		$1,928.00	$1,928.00	$1,928.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $92.84 / $342.32	Facility		$24.79	$92.84	$342.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $42.06 / $60.17	Professional		$30.69	$42.06	$60.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $38.88 / $74.63	Professional		$23.95	$38.88	$74.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $93.07 / $348.78	Facility		$24.83	$93.07	$348.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $53.78 / $301.47	Professional		$28.37	$53.78	$301.47
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $130.56 / $307.68	Professional		$29.76	$130.56	$307.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $31.44 / $43.83	Professional		$27.61	$31.44	$43.83