Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $923.00 / $5,216.00	Facility		$58.60	$923.00	$5,216.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $53.81 / $201.66 / $2,878.90	Facility	50	$53.81	$201.66	$2,878.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.13 / $22.15 / $30.24	Facility	52	$15.13	$22.15	$30.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $45.83 / $92.52	Professional		$29.38	$45.83	$92.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.00 / $88.51 / $269.80	Professional	50	$39.00	$88.51	$269.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.79 / $21.19 / $29.86	Professional	52	$14.79	$21.19	$29.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $46.43 / $55.04	Professional		$30.00	$46.43	$55.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $57.48 / $65.00 / $78.43	Professional	50	$57.48	$65.00	$78.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $85.27 / $195.86	Facility		$47.31	$85.27	$195.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $43.41 / $72.41	Professional		$29.65	$43.41	$72.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $104.82 / $1,559.94	Facility		$32.11	$104.82	$1,559.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $48.66 / $77.05	Professional		$26.85	$48.66	$77.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $46.06 / $46.06	Facility		$26.70	$46.06	$46.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $54.19 / $90.68	Professional		$35.67	$54.19	$90.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $189.20	Facility		$55.00	$55.00	$189.20
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $116.25 / $125.18 / $125.18	Facility	52	$116.25	$125.18	$125.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.44 / $348.00 / $400.73	Professional		$233.44	$348.00	$400.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $50.33 / $94.79	Facility		$32.19	$50.33	$94.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $60.55 / $81.52	Professional		$40.36	$60.55	$81.52
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $80.84 / $80.84 / $80.84	Professional	50	$80.84	$80.84	$80.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $44.07 / $48.62	Professional		$26.78	$44.07	$48.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $51.24 / $97.77	Facility		$32.19	$51.24	$97.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $56.17 / $99.17	Professional		$36.46	$56.17	$99.17
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 $39.26 / $53.55 / $83.44	Professional		$39.26	$53.55	$83.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $45.08 / $63.03	Professional		$39.75	$45.08	$63.03