Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.37 / $1,938.00 / $6,762.00	Facility		$134.37	$1,938.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $772.82 / $1,230.90 / $2,526.04	Facility	50	$772.82	$1,230.90	$2,526.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $79.68 / $134.77	Professional		$47.57	$79.68	$134.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.88 / $129.26 / $403.76	Professional	50	$73.88	$129.26	$403.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $48.52 / $48.52	Professional		$48.52	$48.52	$48.52
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 $41.66 / $72.28 / $115.02	Professional		$41.66	$72.28	$115.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $82.74 / $102.79	Professional		$57.07	$82.74	$102.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $317.14 / $317.14	Facility		$44.56	$317.14	$317.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $87.34 / $87.34	Facility		$87.34	$87.34	$87.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $97.66 / $159.62	Professional		$56.97	$97.66	$159.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $251.13	Facility		$55.00	$55.00	$251.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $376.16 / $417.83 / $2,504.50	Professional		$376.16	$417.83	$2,504.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $87.40 / $146.97	Facility		$50.34	$87.40	$146.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $102.06 / $156.62	Professional		$64.34	$102.06	$156.62
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $69.20 / $69.20 / $1,575.00	Professional	50	$69.20	$69.20	$1,575.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $414.07 / $2,296.71 / $5,812.00	Facility		$414.07	$2,296.71	$5,812.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.57 / $87.41 / $126.97	Professional		$49.57	$87.41	$126.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $87.40 / $150.26	Facility		$50.49	$87.40	$150.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $101.24 / $170.14	Professional		$57.61	$101.24	$170.14
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 $71.06 / $95.07 / $153.91	Professional		$71.06	$95.07	$153.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $83.98 / $118.00	Professional		$74.26	$83.98	$118.00