Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $1,861.00 / $6,691.00	Facility		$50.53	$1,861.00	$6,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $443.40 / $518.00 / $591.21	Facility	50	$443.40	$518.00	$591.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $45.67 / $79.56	Professional		$31.15	$45.67	$79.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.44 / $68.27 / $125.15	Professional	50	$40.44	$68.27	$125.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $46.86 / $71.75	Professional		$43.19	$46.86	$71.75
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.29 / $70.29 / $111.33	Professional	50	$70.29	$70.29	$111.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $37.44 / $89.07	Facility		$19.80	$37.44	$89.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $45.55 / $65.20	Professional		$30.47	$45.55	$65.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $299.06 / $388.05	Facility		$35.71	$299.06	$388.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $49.20 / $77.31	Professional		$27.75	$49.20	$77.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $247.14 / $247.14	Facility		$29.81	$247.14	$247.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $57.28 / $57.28	Facility		$57.28	$57.28	$57.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $57.45 / $91.87	Professional		$36.86	$57.45	$91.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $160.22	Facility		$55.00	$55.00	$160.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $364.96 / $409.05	Professional		$245.68	$364.96	$409.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $50.84 / $82.01	Facility		$32.70	$50.84	$82.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $59.56 / $89.65	Professional		$40.83	$59.56	$89.65
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $24.82 / $24.82 / $49.42	Professional	50	$24.82	$24.82	$49.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $55.50 / $106.61	Professional		$33.04	$55.50	$106.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $51.03 / $82.98	Facility		$32.88	$51.03	$82.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $60.05 / $95.96	Professional		$37.77	$60.05	$95.96
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $51.99 / $84.66	Professional		$38.95	$51.99	$84.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $46.86 / $65.37	Professional		$41.14	$46.86	$65.37