Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.57 / $3,431.00 / $10,234.00	Facility		$98.57	$3,431.00	$10,234.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $654.72 / $654.72 / $2,471.23	Facility	50	$654.72	$654.72	$2,471.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $102.25 / $153.91	Professional		$78.68	$102.25	$153.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.08 / $148.08 / $173.79	Professional	50	$148.08	$148.08	$173.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $88.26 / $88.26	Professional		$88.26	$88.26	$88.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $132.38 / $132.38 / $167.33	Professional	50	$132.38	$132.38	$167.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $545.38 / $1,228.93	Facility		$92.42	$545.38	$1,228.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.72 / $91.61 / $143.54	Professional		$71.72	$91.61	$143.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $77.86 / $106.32	Professional		$77.86	$77.86	$106.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $69.78 / $95.38	Facility		$69.78	$69.78	$95.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $110.51 / $188.40	Professional		$81.13	$110.51	$188.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $544.44	Facility		$55.00	$55.00	$544.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $577.52 / $1,055.57 / $1,055.57	Professional		$577.52	$1,055.57	$1,055.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $106.68 / $182.21	Facility		$72.73	$106.68	$182.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $114.99 / $152.55	Professional		$82.15	$114.99	$152.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $90.72 / $109.01	Professional		$77.48	$90.72	$109.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $108.19 / $194.97	Facility		$73.39	$108.19	$194.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $116.12 / $190.53	Professional		$84.97	$116.12	$190.53
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 $75.06 / $103.21 / $154.44	Professional		$75.06	$103.21	$154.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $88.26 / $124.81	Professional		$78.40	$88.26	$124.81