Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.61 / $1,804.94 / $7,272.00	Facility		$177.61	$1,804.94	$7,272.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $621.00 / $1,177.65 / $1,992.99	Facility	50	$621.00	$1,177.65	$1,992.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $79.98 / $152.53	Professional		$46.93	$79.98	$152.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.81 / $141.66 / $463.43	Professional	50	$72.81	$141.66	$463.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $62.67 / $103.41	Professional		$45.74	$62.67	$103.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $72.31 / $91.76 / $147.69	Professional	50	$72.31	$91.76	$147.69
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 $40.42 / $72.28 / $115.02	Professional		$40.42	$72.28	$115.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $680.40 / $1,109.56	Facility		$50.59	$680.40	$1,109.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $100.86 / $146.77	Professional		$62.67	$100.86	$146.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $302.04 / $302.04	Facility		$43.28	$302.04	$302.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $86.87 / $86.87	Facility		$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $97.28 / $162.72	Professional		$55.85	$97.28	$162.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $740.00 / $1,700.00	Facility		$55.00	$740.00	$1,700.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $1,800.00 / $1,800.00	Professional		$483.00	$1,800.00	$1,800.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $88.09 / $152.07	Facility		$49.86	$88.09	$152.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $103.20 / $158.36	Professional		$63.92	$103.20	$158.36
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $56.64 / $82.25 / $203.78	Professional	50	$56.64	$82.25	$203.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $786.20 / $2,499.00 / $5,812.00	Facility		$786.20	$2,499.00	$5,812.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $88.09 / $126.97	Professional		$49.04	$88.09	$126.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $87.92 / $148.56	Facility		$49.86	$87.92	$148.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $101.24 / $170.78	Professional		$56.85	$101.24	$170.78
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $25.29 / $27.32 / $31.46	Professional	80	$25.29	$27.32	$31.46
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 $70.78 / $95.88 / $155.22	Professional		$70.78	$95.88	$155.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $84.89 / $119.22	Professional		$75.09	$84.89	$119.22