Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,715.35 / $12,022.64	Facility		$524.81	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $87.10	Professional		$36.31	$53.70	$87.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $87.10 / $87.10	Professional	50	$53.70	$87.10	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $34.67	Professional		$30.90	$34.67	$34.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	50	$52.48	$52.48	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $588.84 / $1,230.27	Facility		$288.40	$588.84	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $58.88	Professional		$32.36	$40.74	$58.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $38.90	Facility		$29.51	$29.51	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $107.15	Professional		$37.15	$57.54	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,513.56	Facility		$54.95	$56.23	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $3,548.13	Facility		$35.48	$58.88	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $75.86	Professional		$36.31	$47.86	$75.86
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	50	$53.70	$53.70	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $56.23	Professional		$32.36	$38.90	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $100.00	Facility		$36.31	$52.48	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $107.15	Professional		$37.15	$56.23	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $83.18	Professional		$35.48	$52.48	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90