Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.57 / $2,000.00 / $6,762.00	Facility		$95.57	$2,000.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $86.02 / $137.99	Professional		$55.40	$86.02	$137.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $132.35 / $159.91 / $457.57	Professional	50	$132.35	$159.91	$457.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $53.85 / $65.81	Professional		$53.85	$53.85	$65.81
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 $54.79 / $88.96 / $131.15	Professional		$54.79	$88.96	$131.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $59.79 / $59.79 / $59.79	Facility		$59.79	$59.79	$59.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $93.62 / $119.45	Professional		$66.64	$93.62	$119.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $358.85 / $358.85	Facility		$50.53	$358.85	$358.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $102.18	Facility		$102.18	$102.18	$102.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $108.61 / $174.10	Professional		$66.20	$108.61	$174.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $291.98	Facility		$55.00	$55.00	$291.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $2,500.00 / $2,500.00	Professional		$575.00	$2,500.00	$2,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $95.84 / $159.74	Facility		$58.57	$95.84	$159.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $108.62 / $170.01	Professional		$75.27	$108.62	$170.01
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $109.62 / $112.47 / $117.12	Professional	50	$109.62	$112.47	$117.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $96.24 / $136.68	Professional		$57.73	$96.24	$136.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.74 / $96.58 / $161.44	Facility		$58.74	$96.58	$161.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $112.20 / $187.70	Professional		$66.20	$112.20	$187.70
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 $75.09 / $103.83 / $168.11	Professional		$75.09	$103.83	$168.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $91.28 / $127.93	Professional		$80.61	$91.28	$127.93