Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $2,071.00 / $6,762.00	Facility		$70.09	$2,071.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $64.59 / $101.74	Professional		$46.93	$64.59	$101.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.51 / $108.51 / $225.04	Professional	50	$108.51	$108.51	$225.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $47.78 / $71.67	Professional		$47.78	$47.78	$71.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $71.67 / $71.67 / $71.67	Professional	50	$71.67	$71.67	$71.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $55.94 / $220.87	Facility		$34.33	$55.94	$220.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $54.36 / $78.70	Professional		$43.01	$54.36	$78.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $329.35 / $420.86	Facility		$43.09	$329.35	$420.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $67.47 / $86.00	Professional		$49.40	$67.47	$86.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $50.53	Facility		$16.57	$16.57	$50.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $28.67 / $29.61	Facility		$28.67	$28.67	$29.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $76.97 / $152.68	Professional		$47.73	$76.97	$152.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $319.02	Facility		$55.00	$55.00	$319.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $383.56 / $417.53 / $425.33	Professional		$383.56	$417.53	$425.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $65.31 / $138.80	Facility		$46.93	$65.31	$138.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $63.92 / $78.67	Professional		$49.46	$63.92	$78.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $55.11 / $65.67	Professional		$46.00	$55.11	$65.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $65.70 / $139.19	Facility		$46.93	$65.70	$139.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $81.62 / $152.41	Professional		$50.24	$81.62	$152.41
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 $55.52 / $83.04 / $122.22	Professional		$55.52	$83.04	$122.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $47.78 / $66.69	Professional		$41.97	$47.78	$66.69