Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.83 / $2,872.00 / $10,048.00	Facility		$222.83	$2,872.00	$10,048.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $934.30 / $3,181.50 / $4,828.50	Facility	50	$934.30	$3,181.50	$4,828.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $186.34 / $283.27	Professional		$123.53	$186.34	$283.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $296.33 / $346.56 / $1,486.50	Professional	50	$296.33	$346.56	$1,486.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $140.51 / $140.51 / $188.85	Professional	50	$140.51	$140.51	$188.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.40 / $210.14 / $845.91	Facility		$124.40	$210.14	$845.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $188.07 / $309.32	Professional		$122.50	$188.07	$309.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $127.16 / $366.78	Facility		$63.36	$127.16	$366.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $190.57 / $271.64	Professional		$91.28	$190.57	$271.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.34 / $471.72 / $471.72	Facility		$116.34	$471.72	$471.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.33 / $197.33 / $197.33	Facility		$197.33	$197.33	$197.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $221.94 / $360.40	Professional		$142.16	$221.94	$360.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $685.62	Facility		$55.00	$55.00	$685.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.00 / $1,447.92 / $1,696.20	Professional		$1,027.00	$1,447.92	$1,696.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $206.86 / $357.80	Facility		$132.19	$206.86	$357.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $242.47 / $341.90	Professional		$169.47	$242.47	$341.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $197.30 / $197.30	Professional		$197.30	$197.30	$197.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.37 / $209.38 / $379.51	Facility		$133.37	$209.38	$379.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $229.15 / $389.06	Professional		$146.47	$229.15	$389.06
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $223.10 / $341.78	Professional		$162.26	$223.10	$341.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $187.34 / $264.63	Professional		$166.74	$187.34	$264.63