Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $2,128.00 / $8,883.00	Facility		$23.87	$2,128.00	$8,883.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $121.30 / $121.30 / $121.30	Facility	50	$121.30	$121.30	$121.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $26.93 / $60.03	Professional		$19.32	$26.93	$60.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.03 / $20.03 / $67.09	Professional	50	$20.03	$20.03	$67.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $17.68 / $48.51	Professional		$16.44	$17.68	$48.51
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 $15.26 / $20.82 / $32.04	Professional		$15.26	$20.82	$32.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $130.83 / $169.44	Facility		$121.03	$130.83	$169.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $27.23 / $38.36	Professional		$19.97	$27.23	$38.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $70.20 / $70.20	Facility		$18.66	$70.20	$70.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $36.46 / $85.00	Professional		$20.32	$36.46	$85.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $642.69 / $663.90	Professional		$300.00	$642.69	$663.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $38.22 / $91.26	Facility		$19.32	$38.22	$91.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $27.17 / $34.69	Professional		$20.74	$27.17	$34.69
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $32.21 / $32.21 / $52.04	Professional	50	$32.21	$32.21	$52.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $20.23 / $23.56	Professional		$18.25	$20.23	$23.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $37.99 / $91.72	Facility		$19.32	$37.99	$91.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $37.49 / $81.30	Professional		$21.32	$37.49	$81.30
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 $21.66 / $40.22 / $65.62	Professional		$21.66	$40.22	$65.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $17.68 / $24.57	Professional		$15.46	$17.68	$24.57