Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $3,213.00 / $9,897.00	Facility		$73.04	$3,213.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $73.04 / $135.31	Professional		$46.90	$73.04	$135.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.37 / $118.37 / $342.05	Professional	50	$118.37	$118.37	$342.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $74.18 / $95.06	Professional		$41.75	$74.18	$95.06
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $111.27 / $111.27 / $111.27	Professional	50	$111.27	$111.27	$111.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $267.33 / $594.08	Facility		$100.00	$267.33	$594.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $72.70 / $124.76	Professional		$47.34	$72.70	$124.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $169.69 / $201.31 / $261.20	Facility		$169.69	$201.31	$261.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $88.30 / $133.52	Professional		$74.18	$88.30	$133.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.57 / $173.01 / $173.01	Facility		$43.57	$173.01	$173.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $91.76 / $211.67	Professional		$56.85	$91.76	$211.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $360.24	Facility		$55.00	$55.00	$360.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $374.24 / $656.02 / $675.70	Professional		$374.24	$656.02	$675.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $89.02 / $200.82	Facility		$51.00	$89.02	$200.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $93.86 / $134.72	Professional		$65.59	$93.86	$134.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $114.70 / $114.70	Professional		$114.70	$114.70	$114.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $90.44 / $203.89	Facility		$51.37	$90.44	$203.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $99.63 / $211.96	Professional		$58.89	$99.63	$211.96
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,667.00	Facility		$161.00	$1,058.00	$2,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $113.68 / $179.65	Professional		$69.02	$113.68	$179.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $74.18 / $104.06	Professional		$65.70	$74.18	$104.06