Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $3,431.00 / $8,883.00	Facility		$32.18	$3,431.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $34.40 / $56.68	Professional		$21.55	$34.40	$56.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.34 / $60.67 / $67.15	Professional	50	$30.34	$60.67	$67.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $51.88 / $63.36	Professional		$48.74	$51.88	$63.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $38.68 / $45.50	Professional		$24.48	$38.68	$45.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $44.30 / $64.00	Facility		$32.11	$44.30	$64.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $23.37 / $60.93	Professional		$23.37	$23.37	$60.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $30.17 / $30.17	Facility		$27.01	$30.17	$30.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Professional		$46.42	$46.42	$46.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.72 / $169.72 / $169.72	Facility		$169.72	$169.72	$169.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $205.61 / $327.13 / $435.83	Professional		$205.61	$327.13	$435.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $49.43 / $90.18	Facility		$31.01	$49.43	$90.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $58.96 / $88.31	Professional		$41.21	$58.96	$88.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $22.80 / $22.80	Professional		$22.80	$22.80	$22.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $49.97 / $96.81	Facility		$31.01	$49.97	$96.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $88.05	Professional		$46.42	$46.42	$88.05
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 $41.29 / $55.50 / $87.74	Professional		$41.29	$55.50	$87.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $48.74 / $68.26	Professional		$43.07	$48.74	$68.26