Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $1,964.00 / $6,691.00	Facility		$138.44	$1,964.00	$6,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $751.50 / $1,066.16 / $2,500.00	Facility	50	$751.50	$1,066.16	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $116.81 / $192.35	Professional		$56.89	$116.81	$192.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.91 / $625.00 / $625.00	Professional	50	$416.91	$625.00	$625.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $55.36 / $55.36	Professional		$55.36	$55.36	$55.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $657.80 / $3,989.00	Facility		$271.33	$657.80	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $98.25 / $171.25	Professional		$48.45	$98.25	$171.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $532.79 / $1,923.89	Facility		$60.85	$532.79	$1,923.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $59.53 / $68.45	Professional		$50.64	$59.53	$68.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $410.23 / $410.23	Facility		$52.48	$410.23	$410.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $105.08	Facility		$105.08	$105.08	$105.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $129.36 / $227.20	Professional		$68.39	$129.36	$227.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.25 / $11,500.00 / $12,000.00	Facility		$300.25	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $1,119.15 / $1,278.47	Professional		$631.00	$1,119.15	$1,278.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.84 / $132.10 / $236.25	Facility		$60.84	$132.10	$236.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $149.16 / $233.48	Professional		$75.89	$149.16	$233.48
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $115.64 / $115.64 / $115.64	Professional	50	$115.64	$115.64	$115.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $132.10 / $259.95	Professional		$59.96	$132.10	$259.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $132.62 / $238.01	Facility		$60.90	$132.62	$238.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $130.91 / $245.01	Professional		$69.59	$130.91	$245.01
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $131.16 / $221.48	Professional		$94.14	$131.16	$221.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $124.67 / $175.86	Professional		$110.70	$124.67	$175.86