Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $1,899.00 / $6,691.00	Facility		$99.00	$1,899.00	$6,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $719.90 / $1,263.75 / $2,204.52	Facility	50	$719.90	$1,263.75	$2,204.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $99.29 / $163.59	Professional		$50.81	$99.29	$163.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.54 / $194.54 / $194.54	Professional	50	$194.54	$194.54	$194.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $108.85 / $436.16	Facility		$64.56	$108.85	$436.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $88.61 / $164.10	Professional		$49.52	$88.61	$164.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $763.00 / $922.76	Facility		$112.83	$763.00	$922.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $485.34 / $485.34	Facility		$49.00	$485.34	$485.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $92.61	Facility		$92.61	$92.61	$92.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $136.63 / $223.51	Professional		$63.18	$136.63	$223.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $302.38	Facility		$55.00	$55.00	$302.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $1,367.00 / $1,367.00	Professional		$1,367.00	$1,367.00	$1,367.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $123.99 / $207.82	Facility		$55.36	$123.99	$207.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $124.46 / $197.35	Professional		$68.54	$124.46	$197.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $109.06 / $217.73	Professional		$54.54	$109.06	$217.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.37 / $126.37 / $212.73	Facility		$55.37	$126.37	$212.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $139.10 / $231.83	Professional		$65.58	$139.10	$231.83
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 $97.86 / $131.76 / $208.66	Professional		$97.86	$131.76	$208.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $102.00 / $143.84	Professional		$90.55	$102.00	$143.84