Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $976.24 / $2,793.93	Facility		$59.60	$976.24	$2,793.93
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $531.28 / $860.40 / $3,695.00	Facility	25	$531.28	$860.40	$3,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $63.75 / $120.57	Professional		$52.95	$63.75	$120.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.91 / $149.41 / $311.22	Professional	25	$69.91	$149.41	$311.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $111.02 / $213.39	Professional		$66.81	$111.02	$213.39
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $61.28 / $87.48 / $218.68	Professional	25	$61.28	$87.48	$218.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $945.00 / $1,476.28	Facility		$223.48	$945.00	$1,476.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $66.98 / $99.96	Professional		$55.47	$66.98	$99.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $170.73 / $326.00	Facility		$78.73	$170.73	$326.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $92.25 / $252.34	Professional		$68.33	$92.25	$252.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $126.20 / $126.20	Facility		$68.69	$126.20	$126.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $1,479.00 / $2,326.00	Facility		$725.00	$1,479.00	$2,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $81.80 / $149.37	Professional		$60.82	$81.80	$149.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $319.41 / $337.35	Facility		$94.21	$319.41	$337.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $249.57 / $500.00 / $500.00	Professional		$249.57	$500.00	$500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.89 / $78.23 / $193.20	Facility		$62.89	$78.23	$193.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $122.85 / $529.20	Professional		$80.06	$122.85	$529.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $458.00 / $458.00 / $458.00	Facility		$458.00	$458.00	$458.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $85.41 / $134.77	Professional		$68.26	$85.41	$134.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.89 / $77.87 / $193.20	Facility		$62.89	$77.87	$193.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $85.67 / $165.71	Professional		$61.97	$85.67	$165.71
United Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.09 / $122.44	Professional		$49.80	$68.09	$122.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $68.29 / $94.21	Professional		$58.25	$68.29	$94.21