Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.94 / $2,124.00 / $7,316.00	Facility		$266.94	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $177.75 / $300.07	Professional		$68.50	$177.75	$300.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.33 / $323.33 / $323.33	Professional	50	$323.33	$323.33	$323.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.02 / $213.02 / $213.02	Professional		$213.02	$213.02	$213.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $206.39 / $836.48	Facility		$121.65	$206.39	$836.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $166.06 / $256.89	Professional		$62.19	$166.06	$256.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $167.43 / $291.76	Professional		$37.94	$167.43	$291.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $175.59 / $175.59	Facility		$54.36	$175.59	$175.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.65 / $163.65 / $169.00	Facility		$163.65	$163.65	$169.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $175.60 / $325.01	Professional		$73.54	$175.60	$325.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $466.08	Facility		$55.00	$55.00	$466.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.19 / $1,474.50 / $1,523.16	Professional		$676.19	$1,474.50	$1,523.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.18 / $171.99 / $309.32	Facility		$68.18	$171.99	$309.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $192.49 / $279.98	Professional		$72.59	$192.49	$279.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $167.43 / $207.62	Professional		$60.28	$167.43	$207.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.18 / $172.82 / $313.14	Facility		$68.18	$172.82	$313.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $180.37 / $325.41	Professional		$75.70	$180.37	$325.41
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 $138.86 / $194.53 / $300.01	Professional		$138.86	$194.53	$300.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.35 / $167.43 / $237.42	Professional		$149.35	$167.43	$237.42