Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $1,937.00 / $7,513.00	Facility		$142.19	$1,937.00	$7,513.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $585.19 / $661.56 / $664.91	Facility	50	$585.19	$661.56	$664.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $140.27 / $222.93	Professional		$107.90	$140.27	$222.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.90 / $236.70 / $829.50	Professional	50	$78.90	$236.70	$829.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $193.84 / $239.69 / $250.11	Professional	50	$193.84	$239.69	$250.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $121.25 / $430.17	Facility		$71.05	$121.25	$430.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $137.91 / $205.28	Professional		$108.96	$137.91	$205.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $126.80 / $325.24 / $388.05	Facility		$126.80	$325.24	$388.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $105.11 / $106.31	Facility		$80.00	$105.11	$106.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $198.85	Facility		$198.85	$198.85	$198.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $178.99 / $279.50	Professional		$127.16	$178.99	$279.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $605.05	Facility		$55.00	$55.00	$605.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,528.92 / $1,721.89	Professional		$1,415.00	$1,528.92	$1,721.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.55 / $176.16 / $286.54	Facility		$117.55	$176.16	$286.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $187.94 / $241.63	Professional		$151.38	$187.94	$241.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.97 / $162.27 / $226.18	Professional		$127.97	$162.27	$226.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.55 / $177.96 / $286.54	Facility		$117.55	$177.96	$286.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $182.30 / $281.19	Professional		$128.08	$182.30	$281.19
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 $110.29 / $151.65 / $239.78	Professional		$110.29	$151.65	$239.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $129.26 / $181.09	Professional		$114.57	$129.26	$181.09