Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.07 / $2,124.00 / $7,513.00	Facility		$112.07	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $80.20 / $127.81	Professional		$59.80	$80.20	$127.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $74.23 / $79.17	Professional		$74.23	$74.23	$79.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $126.54 / $126.54 / $126.54	Professional	50	$126.54	$126.54	$126.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $64.31 / $260.64	Facility		$37.04	$64.31	$260.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $84.35 / $123.65	Professional		$61.26	$84.35	$123.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $42.49 / $159.16	Facility		$32.64	$42.49	$159.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $53.22 / $66.95	Professional		$38.06	$53.22	$66.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $768.57 / $768.57	Facility		$60.85	$768.57	$768.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $115.70	Facility		$115.70	$115.70	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $106.36 / $165.39	Professional		$74.01	$106.36	$165.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $337.77	Facility		$55.00	$55.00	$337.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $500.24 / $669.60 / $759.68	Professional		$500.24	$669.60	$759.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $93.49 / $151.94	Facility		$66.06	$93.49	$151.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $115.64 / $160.11	Professional		$85.79	$115.64	$160.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $102.88 / $244.09	Professional		$67.41	$102.88	$244.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $94.83 / $155.72	Facility		$66.29	$94.83	$155.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $111.68 / $172.86	Professional		$74.48	$111.68	$172.86
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 $69.59 / $91.78 / $145.52	Professional		$69.59	$91.78	$145.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $86.21 / $120.57	Professional		$75.92	$86.21	$120.57