Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $71.70 / $21,945.00	Facility		$41.85	$71.70	$21,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.27 / $53.12	Professional		$42.16	$42.27	$53.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $58.59 / $58.59	Professional		$58.59	$58.59	$58.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $76.97 / $152.05	Facility		$30.41	$76.97	$152.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Professional		$39.61	$39.61	$39.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $38.29 / $69.43	Facility		$32.65	$38.29	$69.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $45.07 / $59.02	Professional		$38.29	$45.07	$59.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $10,209.71 / $10,209.71 / $10,209.71	Facility		$10,209.71	$10,209.71	$10,209.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $42.16 / $42.16	Facility		$39.77	$42.16	$42.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $42.16	Professional		$42.16	$42.16	$42.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $205.55 / $210.80	Facility		$75.00	$205.55	$210.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,110.43 / $4,110.43 / $4,110.43	Professional		$4,110.43	$4,110.43	$4,110.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $42.16 / $66.33	Facility		$41.85	$42.16	$66.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $43.00 / $69.56	Professional		$42.16	$43.00	$69.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $46.41 / $76.80	Professional		$41.48	$46.41	$76.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $42.16 / $67.90	Facility		$42.16	$42.16	$67.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $50.56	Professional		$42.16	$42.16	$50.56
United Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $67.83	Facility		$41.11	$41.11	$67.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $44.69 / $46.93	Professional		$42.16	$44.69	$46.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $42.16 / $59.02	Professional		$40.97	$42.16	$59.02