Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.45 / $2,124.00 / $6,762.00	Facility		$193.45	$2,124.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,240.97 / $5,240.97 / $5,240.97	Facility	50	$5,240.97	$5,240.97	$5,240.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $176.87 / $262.37	Professional		$127.39	$176.87	$262.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $319.39 / $324.68	Professional	50	$98.86	$319.39	$324.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $59.88 / $157.34	Professional		$59.88	$59.88	$157.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.62 / $430.08 / $965.65	Facility		$232.62	$430.08	$965.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $153.41 / $240.41	Professional		$116.04	$153.41	$240.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $210.98 / $339.70 / $1,091.90	Facility		$210.98	$339.70	$1,091.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $155.35 / $222.77	Professional		$137.74	$155.35	$222.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $199.50 / $199.50	Facility		$109.42	$199.50	$199.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.10 / $197.10 / $203.54	Facility		$197.10	$197.10	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $189.14 / $356.13	Professional		$132.91	$189.14	$356.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $877.26 / $12,000.00 / $12,000.00	Facility		$877.26	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $930.16 / $1,466.09 / $1,466.09	Professional		$930.16	$1,466.09	$1,466.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.39 / $191.11 / $343.97	Facility		$127.39	$191.11	$343.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $193.28 / $262.85	Professional		$136.28	$193.28	$262.85
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $288.29 / $288.29 / $288.29	Professional	50	$288.29	$288.29	$288.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $155.51 / $193.82	Professional		$119.76	$155.51	$193.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.05 / $192.77 / $353.91	Facility		$127.05	$192.77	$353.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $199.35 / $358.09	Professional		$139.79	$199.35	$358.09
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 $130.21 / $195.31 / $315.64	Professional		$130.21	$195.31	$315.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.96 / $148.81 / $209.72	Professional		$131.96	$148.81	$209.72