Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.15 / $2,153.00 / $7,497.00	Facility		$241.15	$2,153.00	$7,497.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,428.67 / $1,939.83 / $2,932.80	Facility	50	$1,428.67	$1,939.83	$2,932.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $205.40 / $352.34	Professional		$109.75	$205.40	$352.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.15 / $171.15 / $172.20	Professional	50	$171.15	$171.15	$172.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $231.18 / $231.18	Professional		$90.20	$231.18	$231.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $192.72 / $192.72 / $192.72	Professional	50	$192.72	$192.72	$192.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $250.60 / $982.99	Facility		$97.28	$250.60	$982.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $197.29 / $313.95	Professional		$107.73	$197.29	$313.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $272.22 / $4,575.08 / $16,180.78	Facility		$272.22	$4,575.08	$16,180.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $261.00 / $401.80	Professional		$97.34	$261.00	$401.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.36 / $640.33 / $640.33	Facility		$109.36	$640.33	$640.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $203.89 / $203.89	Facility		$203.89	$203.89	$203.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $234.10 / $403.76	Professional		$127.43	$234.10	$403.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $601.59	Facility		$55.00	$55.00	$601.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.00 / $1,831.00 / $2,083.80	Professional		$1,831.00	$1,831.00	$2,083.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.29 / $240.68 / $381.01	Facility		$117.29	$240.68	$381.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $282.67 / $448.22	Professional		$152.22	$282.67	$448.22
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $514.59 / $514.59 / $514.59	Professional	50	$514.59	$514.59	$514.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $254.61 / $506.29	Professional		$119.70	$254.61	$506.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $240.89 / $382.29	Facility		$117.86	$240.89	$382.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $239.73 / $450.91	Professional		$128.02	$239.73	$450.91
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $228.99 / $397.99	Professional		$132.15	$228.99	$397.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $231.18 / $326.75	Professional		$205.67	$231.18	$326.75