Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $1,856.00 / $6,386.00	Facility		$97.76	$1,856.00	$6,386.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $808.14 / $1,280.40 / $2,038.58	Facility	50	$808.14	$1,280.40	$2,038.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $87.28 / $153.28	Professional		$55.00	$87.28	$153.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.62 / $146.91 / $508.59	Professional	50	$85.62	$146.91	$508.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $64.11 / $116.62	Professional		$53.52	$64.11	$116.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $86.37 / $137.37 / $145.61	Professional	50	$86.37	$137.37	$145.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $977.71 / $3,989.00	Facility		$182.43	$977.71	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $77.37 / $123.11	Professional		$47.64	$77.37	$123.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $58.79 / $58.79	Facility		$58.79	$58.79	$58.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $109.30 / $159.80	Professional		$66.18	$109.30	$159.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $399.36 / $399.36	Facility		$50.19	$399.36	$399.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $101.68	Facility		$101.68	$101.68	$101.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $107.88 / $174.92	Professional		$65.08	$107.88	$174.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $289.37	Facility		$55.00	$55.00	$289.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $2,750.00 / $2,750.00	Professional		$575.00	$2,750.00	$2,750.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $95.04 / $159.55	Facility		$57.90	$95.04	$159.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $107.10 / $170.60	Professional		$74.84	$107.10	$170.60
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $95.54 / $111.18 / $166.91	Professional	50	$95.54	$111.18	$166.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $621.99 / $2,499.00 / $5,812.00	Facility		$621.99	$2,499.00	$5,812.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $95.60 / $136.72	Professional		$57.34	$95.60	$136.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $96.16 / $160.88	Facility		$57.91	$96.16	$160.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $111.98 / $186.41	Professional		$65.27	$111.98	$186.41
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 $77.09 / $103.29 / $166.87	Professional		$77.09	$103.29	$166.87
United Facility/Professional Professional Modifier 50 Low / Median / High Price $204.69 / $204.69 / $204.69	Professional	50	$204.69	$204.69	$204.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $91.58 / $128.30	Professional		$80.89	$91.58	$128.30