Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $2,872.00 / $10,048.00	Facility		$211.06	$2,872.00	$10,048.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,161.00 / $3,181.50 / $8,889.58	Facility	50	$2,161.00	$3,181.50	$8,889.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $173.53 / $264.85	Professional		$107.60	$173.53	$264.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $246.76 / $308.61 / $1,431.00	Professional	50	$246.76	$308.61	$1,431.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $176.92 / $176.92	Professional		$176.92	$176.92	$176.92
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $265.39 / $265.39 / $265.39	Professional	50	$265.39	$265.39	$265.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $159.47 / $629.69	Facility		$92.98	$159.47	$629.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $177.91 / $282.04	Professional		$112.00	$177.91	$282.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $213.13 / $213.13 / $256.52	Professional		$213.13	$213.13	$256.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.44 / $107.44 / $107.44	Facility		$107.44	$107.44	$107.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.18 / $178.18 / $178.18	Facility		$178.18	$178.18	$178.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $206.97 / $345.95	Professional		$129.50	$206.97	$345.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $696.80 / $9,102.00 / $11,500.00	Facility		$696.80	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $880.88 / $1,367.60 / $1,605.15	Professional		$880.88	$1,367.60	$1,605.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.88 / $193.94 / $338.24	Facility		$118.88	$193.94	$338.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $220.80 / $323.23	Professional		$154.32	$220.80	$323.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $178.20 / $178.20	Professional		$178.20	$178.20	$178.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $194.61 / $364.04	Facility		$119.55	$194.61	$364.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $215.18 / $372.86	Professional		$132.71	$215.18	$372.86
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 $153.31 / $210.80 / $325.79	Professional		$153.31	$210.80	$325.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $176.92 / $250.20	Professional		$157.63	$176.92	$250.20