Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $1,978.00 / $8,780.00	Facility		$68.69	$1,978.00	$8,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $68.68 / $104.33	Professional		$50.19	$68.68	$104.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.23 / $108.23 / $108.23	Professional	50	$108.23	$108.23	$108.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $64.72 / $121.40	Professional		$58.80	$64.72	$121.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $173.36 / $389.24	Facility		$92.68	$173.36	$389.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $62.62 / $101.89	Professional		$45.48	$62.62	$101.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $142.02 / $277.48	Facility		$49.66	$142.02	$277.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $85.36 / $110.42	Professional		$65.44	$85.36	$110.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $56.19 / $65.05	Facility		$41.16	$56.19	$65.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $74.78 / $119.04	Professional		$52.57	$74.78	$119.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $352.32	Facility		$55.00	$55.00	$352.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $902.20 / $902.20	Professional		$365.52	$902.20	$902.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $73.87 / $119.10	Facility		$50.41	$73.87	$119.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $76.64 / $104.54	Professional		$52.66	$76.64	$104.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $57.78 / $70.31	Professional		$41.65	$57.78	$70.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $73.89 / $120.47	Facility		$50.41	$73.89	$120.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $77.36 / $119.71	Professional		$53.96	$77.36	$119.71
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $73.13 / $110.01	Professional		$55.72	$73.13	$110.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $63.23 / $88.75	Professional		$55.77	$63.23	$88.75