Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.58 / $2,038.25 / $5,906.00	Facility		$345.58	$2,038.25	$5,906.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $897.60 / $1,662.04 / $3,649.22	Facility	50	$897.60	$1,662.04	$3,649.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $172.53 / $355.66	Professional		$54.29	$172.53	$355.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.23 / $158.91 / $835.00	Professional	50	$85.23	$158.91	$835.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $200.87 / $261.81	Professional		$52.95	$200.87	$261.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $88.64 / $104.66 / $343.43	Professional	50	$88.64	$104.66	$343.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.88 / $1,283.82 / $3,989.00	Facility		$521.88	$1,283.82	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $171.97 / $308.85	Professional		$49.59	$171.97	$308.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $906.80 / $3,041.11	Facility		$170.00	$906.80	$3,041.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $116.25 / $377.44	Professional		$65.47	$116.25	$377.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $521.55 / $521.55	Facility		$50.19	$521.55	$521.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $100.61	Facility		$100.61	$100.61	$100.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $137.26 / $332.23	Professional		$64.50	$137.26	$332.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $429.16 / $1,700.00	Facility		$55.00	$429.16	$1,700.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $871.44 / $1,679.92 / $1,965.90	Professional		$871.44	$1,679.92	$1,965.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.93 / $165.40 / $355.37	Facility		$56.93	$165.40	$355.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $105.89 / $407.57	Professional		$72.59	$105.89	$407.57
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $110.53 / $110.53 / $110.53	Professional	50	$110.53	$110.53	$110.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $828.48 / $1,133.33 / $5,207.60	Facility		$828.48	$1,133.33	$5,207.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $215.20 / $479.30	Professional		$56.07	$215.20	$479.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $165.40 / $361.73	Facility		$56.94	$165.40	$361.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $144.28 / $357.33	Professional		$65.67	$144.28	$357.33
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 $140.61 / $191.80 / $305.54	Professional		$140.61	$191.80	$305.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $215.99 / $307.33	Professional		$193.25	$215.99	$307.33