Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.66 / $2,124.00 / $7,316.00	Facility		$153.66	$2,124.00	$7,316.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.50 / $2,344.50 / $4,389.12	Facility	50	$562.50	$2,344.50	$4,389.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $107.74 / $166.70	Professional		$83.32	$107.74	$166.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.09 / $140.09 / $140.09	Professional	50	$140.09	$140.09	$140.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Professional		$102.93	$102.93	$102.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.10 / $100.93 / $406.37	Facility		$59.10	$100.93	$406.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $114.93 / $160.13	Professional		$91.27	$114.93	$160.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $106.61 / $280.69 / $1,846.80	Facility		$106.61	$280.69	$1,846.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $88.20 / $107.39	Facility		$88.20	$88.20	$107.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $82.02 / $84.70	Facility		$82.02	$82.02	$84.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.11 / $123.43 / $194.21	Professional		$96.11	$123.43	$194.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $685.68	Facility		$55.00	$55.00	$685.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $725.44 / $920.25 / $1,968.90	Professional		$725.44	$920.25	$1,968.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $127.58 / $223.73	Facility		$93.13	$127.58	$223.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $131.19 / $164.42	Professional		$106.39	$131.19	$164.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $211.28 / $251.90	Professional		$103.29	$211.28	$251.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $128.03 / $226.43	Facility		$93.02	$128.03	$226.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $127.46 / $194.21	Professional		$98.28	$127.46	$194.21
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 $79.04 / $107.11 / $161.44	Professional		$79.04	$107.11	$161.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $97.11 / $136.97	Professional		$86.13	$97.11	$136.97